CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Satanta District Hospital, Clinics, & Ltcu

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 45378
  • Insurance Median: $378
  • Cash Discount Price: $1,044
  • vs. Medicare Baseline: 0.40x Medicare
The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Satanta District Hospital, Clinics, & Ltcu is $378. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,044. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.40x the Medicare baseline. Located in 401 Cheyenne, Satanta, KS.
Cash / Self-Pay
$1,044

Average discount available for prompt cash payment at this facility.

Insurance Median
$378

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$950.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $950.1 (100%)
Cash / Self-Pay: $1,044 (110%)
Insurance Median: $378 (40%)
Cash: $1,044 (110% of Medicare)
Ins. Median: $378 (40% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Cheyenne, Satanta, KS 67870
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals