Colonoscopy with biopsy
Facility: University Of Kansas Hospital
Billing Code: 45380 (CPT)
- CPT Billing Code: 45380
- Insurance Median: $1,873
- Cash Discount Price: $2,157
- vs. Medicare Baseline: 1.53x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $1,222.56 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Tricare | $1,117 | 91% |
| Triwest [503201703] | $1,117 | 91% |
| Humana | $1,117 - $1,140 | 91% |
| Medicare (plans) | $1,117 - $1,140 | 91% |
| Lasso Healthcare [503999926] | $1,117 | 91% |
| UnitedHealthcare | $1,117 - $1,788 | 91% |
| Workers Comp [503999901] | $1,117 - $1,873 | 91% |
| Ku Athletics [503200094] | $1,117 | 91% |
| Devoted [503200068] | $1,117 | 91% |
| Aetna | $1,117 - $1,564 | 91% |
| Blue Cross Blue Shield | $1,151 - $2,396 | 94% |
| Allwell [503200078] | $1,151 | 94% |
| American Health Plans [503200968] | $1,173 | 96% |
| Centurion [5032000966] | $1,452 | 119% |
| Alt Bnsf Railway Co [503301503] | $1,873 | 153% |
| Gallagher Bassett [5032000103] | $1,873 | 153% |
| Sedgwick Claims Management Services [53201618] | $1,873 | 153% |
| Prime Health Services [503999912] | $1,873 | 153% |
| Ambetter / Centene | $1,899 | 155% |
| Oscar [503201609] | $2,123 | 174% |
| Centivo [5032000982] | $2,123 | 174% |
| Wellfit [503301514] | $2,123 | 174% |
| 6 Degrees Health [503999050] | $2,179 - $2,793 | 178% |
| Alt Wppa [5032000964] | $2,234 | 183% |
| Occunet [503999930] | $2,346 | 192% |
| Fort Hays State Student Athletes [5032000960] | $2,346 | 192% |
| Claimdoc [503301509] | $3,017 | 247% |
| Multiplan [503200057] | $3,017 | 247% |
| Advanced Medical Pricing Solutions [503301513] | $3,352 | 274% |
Consumer Guidance & Cost Commentary
For a colonoscopy with biopsy at University Of Kansas Hospital in Kansas City, KS, the facility's cash median rate of $2,157 is significantly higher than the state average, which sits at $1,315. While commercial insurance plans like UnitedHealthcare and Blue Cross Blue Shield negotiate rates ranging from $1,117 to $2,793, these negotiated amounts often exceed the cash price, meaning self-pay patients could save money by paying directly. The facility's negotiated rate of $1,873 is also notably higher than the state average, and the gross charge of $10,786 represents a substantial markup compared to the Medicare benchmark of $1,222.56. Given that over 80% of hospital bills contain errors, patients should request a full itemized CPT-coded bill before paying to identify any unbundled codes or services not rendered, rather than accepting a summary invoice.
Patients should be aware that while in-network insurance provides a ceiling rate, it does not guarantee the lowest possible price, as administrative costs and contract dynamics can inflate the allowed amount. If your deductible has not been met, you may face the full negotiated rate, which could be higher than the cash option. To minimize costs, we recommend contacting the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% for upfront payment. Additionally, if you are concerned about potential balance billing from out-of-network ancillary services, you have protections under the No Surprises Act for emergency care and non-emergency services at in-network facilities, allowing you to dispute any unexpected charges without fear