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Mississippi

Cost of a Colonoscopy Polyp Removal Visit
in Mississippi

Reviewed by Momentary Medical Group West PC

Mississippi ranks among the highest states for colorectal cancer mortality, making access to quality Colonoscopy Polyp Removal procedures particularly important for residents. Patients typically pay between $209 and $963, with a median out-of-pocket cost of $368 based on negotiated insurance rates across the state's 1,304 active providers. Mississippi's lower cost structure compared to national averages helps patients access these potentially life-saving procedures at more affordable rates throughout the state's diverse healthcare landscape.

Average

$514

Median

$368

Lowest

$209

Highest

$963

Providers

1,304

National avg: $752Mississippi: $514

32% below national average

Compare Similar Procedures

How does colonoscopy with polyp removal compare to related procedures in Mississippi?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$151$273$7191,309
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$162$349$8501,310
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$101$229$5441,295
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$114$286$6211,314
ECG / EKG

12-lead electrocardiogram with interpretation

93000$13$16$581,380
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$57$141$3771,318
OB Ultrasound

Obstetric ultrasound, complete

76805$38$80$1891,314

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 45385Colonoscopy with removal of polyps by snare). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 45385 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 45385 (Colonoscopy with removal of polyps by snare), as mandated by the CMS Price Transparency Rule.

What CPT 45385 covers: the provider's professional fee for colonoscopy with polyp removal. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Colonoscopy Polyp Removal Visit Costs Vary Across Mississippi

Mississippi's healthcare costs run approximately 14% below national averages, reflecting the state's lower cost of living and reduced physician overhead compared to coastal states. However, the state's rural geography creates significant access challenges, with many counties lacking gastroenterology specialists and forcing patients to travel considerable distances for specialized procedures.

Urban vs. Rural Provider Availability

The Jackson metropolitan area and Gulf Coast region contain most of Mississippi's gastroenterology specialists, while the rural Mississippi Delta and northeastern counties have limited access to Colonoscopy Polyp Removal procedures. Patients in rural areas often face 100+ mile drives to reach specialists, sometimes leading to delayed care and more advanced disease at diagnosis. This geographic concentration allows urban providers to maintain higher volumes and potentially offer more competitive pricing.

Facility Type and Overhead Costs

Mississippi's major health systems including University of Mississippi Medical Center, Merit Health, and Baptist Memorial operate most hospital-based gastroenterology services with higher overhead costs. Independent ambulatory surgery centers, particularly around Jackson and the coast, often provide the same procedures at 20-30% lower costs due to reduced administrative overhead. The state's relatively low real estate and labor costs help keep facility fees lower than national averages.

Insurance Market Competition in Mississippi

Blue Cross Blue Shield of Mississippi holds dominant market share with limited competition from UnitedHealthCare and Magnolia Health Plan, resulting in less aggressive rate negotiations with providers. This concentrated market means fewer insurance options for consumers but more predictable reimbursement rates for healthcare providers. The lack of robust insurer competition contributes to Mississippi's higher premium costs relative to the state's median income levels.

Physician Supply and Demand in Mississippi

With 1,304 active providers performing colonoscopy procedures, Mississippi maintains adequate specialist availability in urban areas but significant shortages in rural regions. The state's physician-to-population ratio for gastroenterology falls below national averages, particularly problematic given Mississippi's high rates of colorectal cancer and inflammatory bowel disease. This supply-demand imbalance allows specialists to maintain steady pricing while creating longer wait times for appointments, especially in underserved areas.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Colonoscopy Polyp Removal Costs in Mississippi

What is the average cost of a Colonoscopy Polyp Removal visit in Mississippi without insurance?

Without insurance, Colonoscopy Polyp Removal procedures in Mississippi typically cost between $209 and $963, with a median cost of $368 based on negotiated rates across 1,304 providers statewide. These rates represent what insurers actually pay providers, so uninsured patients may face higher list prices but can often negotiate cash-pay discounts. Many Mississippi facilities offer 20-40% discounts for patients who pay upfront without insurance.

Does Mississippi Medicaid cover Colonoscopy Polyp Removal visits?

Mississippi chose not to expand Medicaid, limiting coverage to very low-income parents, pregnant women, children, and disabled individuals who qualify under traditional Medicaid guidelines. For those who do qualify, Mississippi Medicaid covers medically necessary colonoscopies and polyp removals at 100% with no patient cost-sharing. Working adults who earn too much for traditional Medicaid but too little for marketplace subsidies often fall into the coverage gap.

How do I find an affordable Colonoscopy Polyp Removal near me in Mississippi?

Compare costs between hospital-owned facilities and independent ambulatory surgery centers, as the latter often charge 20-30% less for the same procedure. Ask about cash-pay discounts if you're uninsured, and consider traveling to areas outside major cities where overhead costs may be lower. Community health centers throughout Mississippi can provide referrals and help coordinate care at reduced costs for qualifying patients.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial gastroenterology consultations typically cost more than follow-up visits due to the comprehensive evaluation required during first visits. While the colonoscopy procedure itself has standardized pricing ranging from $209-$963 in Mississippi, the associated office visits vary based on complexity and time spent. Follow-up visits after polyp removal are usually shorter and less expensive, focusing on pathology results and future screening recommendations.

Can I use an HSA or FSA to pay for a Colonoscopy Polyp Removal visit in Mississippi?

Yes, both HSA and FSA funds can be used to pay for Colonoscopy Polyp Removal procedures and related medical expenses in Mississippi, including copays, deductibles, and any out-of-pocket costs. These tax-advantaged accounts are particularly valuable for procedures that may involve unexpected costs, such as when routine screening colonoscopies become therapeutic due to polyp removal. Keep all receipts for documentation, as both the consultation and procedure qualify as eligible medical expenses.

How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Mississippi?

While the actual colonoscopy procedure must be performed in person, many Mississippi gastroenterologists offer telehealth consultations for initial evaluations, follow-up care, and results discussions. These virtual visits typically cost $150-250, significantly less than in-person consultations, and can help determine if you need a colonoscopy before scheduling the procedure. Mississippi expanded telehealth coverage during COVID-19, and many insurers continue to cover virtual gastroenterology consultations at the same rates as in-person visits.

Click a state to compare costs

Average Visit Cost

$272
$2,018

Office visit (CPT 45385)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $81$5,357
$2,018
2Washington
Range: $80$3,638
$1,402
3Oregon
Range: $80$3,638
$1,391
4Idaho
Range: $80$3,638
$1,373
5Alaska
Range: $80$3,638
$1,266
6Montana
Range: $80$3,638
$1,266
7Massachusetts
Range: $80$2,338
$1,051
8New York
Range: $276$2,338
$1,041
9Rhode Island
Range: $80$2,338
$1,031
10Connecticut
Range: $213$2,338
$1,026
11North Dakota
Range: $80$2,334
$976
12Pennsylvania
Range: $80$2,338
$962
13Delaware
Range: $80$2,338
$958
14Minnesota
Range: $80$1,954
$879
15New Hampshire
Range: $457$1,285
$866
16Wyoming
Range: $332$1,540
$808
17Nebraska
Range: $360$1,090
$799
18Hawaii
Range: $80$1,785
$773
19Maine
Range: $494$926
$763
20California
Range: $30$1,785
$756
21Iowa
Range: $95$1,197
$726
22District of Columbia
Range: $212$1,372
$726
23Georgia
Range: $225$1,310
$723
24New Mexico
Range: $265$1,278
$696
25North Carolina
Range: $80$1,433
$685
26New Jersey
Range: $151$1,496
$684
27West Virginia
Range: $98$1,538
$682
28Vermont
Range: $333$1,096
$661
29Utah
Range: $80$1,090
$630
30Colorado
Range: $85$1,282
$611
31Indiana
Range: $80$1,197
$596
32Kentucky
Range: $202$1,136
$586
33Missouri
Range: $239$853
$564
34South Dakota
Range: $80$1,090
$553
35Maryland
Range: $226$1,002
$550
36Michigan
Range: $80$1,088
$545
37Illinois
Range: $220$944
$542
38Louisiana
Range: $197$918
$514
39Mississippi
Range: $209$963
$514
40Nevada
Range: $320$740
$504
41South Carolina
Range: $80$936
$477
42Virginia
Range: $98$916
$471
43Arkansas
Range: $85$853
$464
44Alabama
Range: $80$870
$454
45Texas
Range: $90$866
$453
46Kansas
Range: $239$713
$451
47Ohio
Range: $191$751
$450
48Arizona
Range: $213$715
$432
49Tennessee
Range: $90$796
$428
50Florida
Range: $35$815
$302
51Oklahoma
Range: $85$646
$272
Colonoscopy with Polyp Removal in Other States