Colonoscopy (diagnostic)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 45378 (CPT)
- CPT Billing Code: 45378
- Insurance Median: $852
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.90x 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 $950.1 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 |
|---|---|---|
| Humana | $843 | 89% |
| Via Christi Research | $843 | 89% |
| Medicare (plans) | $843 - $860 | 89% |
| Vc Hope | $843 | 89% |
| Saint Lukes Health Systems | $843 | 89% |
| Va | $843 | 89% |
| Blue Cross Blue Shield | $860 | 91% |
| UnitedHealthcare | $860 - $2,361 | 91% |
| Corizon | $1,054 | 111% |
| Smarthealth | $1,180 | 124% |
| Medicaid / KanCare | $1,433 | 151% |
Consumer Guidance & Cost Commentary
For a diagnostic colonoscopy at Ascension Via Christi Hospitals Wichita, Inc., the negotiated rates for in-network insurance plans range from $843 to $2,361, with a median negotiated amount of $852.00. This facility is located in Wichita, Kansas, and its pricing aligns closely with the state average, showing a variance of 0.9 compared to the Medicare benchmark of $950.10. While many payers, including Humana, Via Christi Research, and several Kansas Medicaid plans, have a fixed rate of $843, UnitedHealthcare offers a wider range up to $2,361 across four plans. It is important to note that while in-network rates protect patients from balance billing under the No Surprises Act, they often exceed the actual cost of care due to administrative overhead and contract structures.
Patients should be aware that cash-pay options may offer a lower total cost if their insurance negotiated rate exceeds the facility's cash price, though cash rates are not listed for this service. To minimize out-of-pocket expenses, individuals should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid upfront. Additionally, since over 80% of hospital bills contain errors, patients should request a detailed, itemized bill rather than accepting a summary invoice, and they should verify their deductible status before scheduling to avoid unexpected charges.