Colonoscopy (diagnostic)
Facility: Via Christi Hospital Wichita St Teresa, 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 |
|---|---|---|
| Vc Hope | $843 | 89% |
| Va | $843 | 89% |
| Via Christi Research | $843 | 89% |
| Saint Lukes Health Systems | $843 | 89% |
| Medicare (plans) | $843 - $860 | 89% |
| Humana | $843 | 89% |
| UnitedHealthcare | $860 - $2,361 | 91% |
| Blue Cross Blue Shield | $860 | 91% |
| Corizon | $1,054 | 111% |
| Smarthealth | $1,180 | 124% |
| Medicaid / KanCare | $1,433 | 151% |
Consumer Guidance & Cost Commentary
For a diagnostic colonoscopy at Via Christi Hospital Wichita St Teresa, the negotiated rates across 11 payers range from $843 to $2,361, with a median negotiated amount of $852.00. This facility, a voluntary non-profit church-owned acute care hospital in Wichita, KS, reports a facility rating of 4. While specific cash or median paid values are not listed in the current data, patients should note that cash-pay options can sometimes be more affordable than insurance negotiated rates, particularly for those with high-deductible plans where the insurer's allowed amount exceeds the cash price. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can significantly reduce out-of-pocket costs by bypassing administrative billing cycles.
When evaluating costs, it is important to compare these rates against the Medicare benchmark rather than the hospital's inflated chargemaster list. The Medicare allowed amount for this procedure is $950.10, and the facility's negotiated rates generally align closely with this baseline, with most payers clustering around $843 to $860. Commercial rates often include administrative markups that can inflate the final price, so understanding that fair pricing typically falls between 120% and 150% of the Medicare rate helps set realistic expectations. If you receive a summary bill, request a full itemized audit to ensure no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal written dispute.