Colonoscopy (diagnostic)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 45378 (CPT)
- CPT Billing Code: 45378
- Insurance Median: $378
- Cash Discount Price: $1,044
- vs. Medicare Baseline: 0.40x 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 |
|---|---|---|
| Direct Benefit-All Plans | $63 - $494 | 7% |
| UnitedHealthcare | $76 - $2,058 | 8% |
| Berkley Net-All Plans | $105 - $823 | 11% |
| Trustmark Health Benefits-All Plans | $115 - $906 | 12% |
| Aetna | $115 - $1,399 | 12% |
| Meritain Health-All Plans | $118 - $926 | 12% |
| Ambetter / Centene | $126 - $988 | 13% |
| Axa Equitable - All Plans | $144 - $1,132 | 15% |
| Pinnacol-All Plans | $147 - $1,152 | 15% |
| Medi-Share-All Plans | $149 - $1,173 | 16% |
| Presbyterian-All Plans | $160 - $1,255 | 17% |
| Kasb Work Comp - All Plans | $168 - $1,317 | 18% |
| The Kempton Group Admin-All Plans | $181 - $1,420 | 19% |
| Gpha(Wppa)-All Other Plans | $183 - $1,441 | 19% |
| Auxiant - All Plans | $183 - $1,441 | 19% |
| Wppa- All Plans | $186 - $1,461 | 20% |
| Sisco-All Plans | $189 - $1,482 | 20% |
| Emc-All Plans | $189 - $1,482 | 20% |
| Providers Care Network- All Plans | $189 - $1,482 | 20% |
| Gpha Employee Benefit Plan | $191 - $1,502 | 20% |
| Regional Care(Wppa)-All Plans | $196 - $1,544 | 21% |
| Employee Benefit-All Plans | $196 - $1,544 | 21% |
| First Health -All Plans | $199 - $1,564 | 21% |
| Triangle-All Plans | $199 - $1,564 | 21% |
| One Call Physician-All Plans | $202 - $1,585 | 21% |
| Blue Cross Blue Shield | $207 - $1,626 | 22% |
| Christian Hospital Aid - All Plans | $210 - $1,646 | 22% |
| Tricare | $210 - $1,646 | 22% |
| Humana | $225 - $1,770 | 24% |
| Cigna | $231 - $1,811 | 24% |
| Luminare Health- All Plans | $231 - $1,811 | 24% |
| Coresource-All Plans | $236 - $1,852 | 25% |
| Deseret Mutual(Uhis)-All Plans | $236 - $1,852 | 25% |
| Vaccn-All Plans | $241 - $1,893 | 25% |
| Hma Llc-All Plans | $249 - $1,955 | 26% |
| Reserve National-All Plans | $249 - $1,955 | 26% |
| Wps Vapc-All Plans | $249 - $1,955 | 26% |
| Medicaid / KanCare | $262 - $2,058 | 28% |
Consumer Guidance & Cost Commentary
For this diagnostic colonoscopy procedure at Satanta District Hospital, the cash price of $1,044 is significantly lower than the negotiated rates charged to most insurance plans, which range from $63 to $2,058 depending on the carrier. While the facility's cash rate is slightly below the state average of $1,044, it is notably lower than the median negotiated payment of $249 reported for this service, suggesting that patients with high-deductible plans might find paying out-of-pocket cheaper if their insurance allows the full negotiated amount to be billed. However, because this is a Critical Access Hospital in Kansas, patients should verify their specific plan's allowed amount before scheduling, as some commercial payers may negotiate rates that exceed the cash price, making upfront payment the most cost-effective option.
To maximize savings, patients should proactively request a "prompt-pay" discount, which typically reduces the bill by 20% to 50% when paid in full within 30 days, bypassing the administrative costs associated with insurance claims. It is crucial to sign a waiver preventing automatic claims submission to ensure the hospital applies this cash discount rather than submitting the claim to an insurer that may charge a higher negotiated rate. Additionally, since the No Surprises Act prohibits balance billing for out-of-network services at in-network facilities, patients can confidently dispute any surprise bills without fear of credit damage, and they should always request a detailed, itemized bill to review for errors before finalizing payment.