Colonoscopy (diagnostic)
Facility: Logan County Hospital
Billing Code: 45378 (CPT)
- CPT Billing Code: 45378
- Insurance Median: $1,339
- Cash Discount Price: $713
- vs. Medicare Baseline: 1.41x 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 |
|---|---|---|
| UnitedHealthcare | $155 | 16% |
| Humana | $155 - $1,357 | 16% |
| Medicaid / KanCare | $307 - $3,200 | 32% |
| Blue Cross Blue Shield | $1,321 | 139% |
| Health Partners - All Plans | $2,375 - $3,040 | 250% |
Consumer Guidance & Cost Commentary
For a diagnostic colonoscopy at Logan County Hospital in Oakley, KS, the facility's cash median price of $713.00 is significantly lower than the state average for this procedure. While commercial insurance plans like Humana and Medicaid/KanCare have negotiated rates ranging from $155 to $3,200, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket. The facility, a Critical Access Hospital owned by the local government, lists a cash median of $713.00, which is notably lower than the Medicare benchmark of $950.10 and the median paid amount of $1,866.00. Patients should verify if their specific plan has a deductible that would make the higher negotiated rate necessary, or if paying the cash price upfront could result in immediate savings.
To ensure you are not overcharged, it is crucial to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If you receive a balance bill for the difference between the provider's full charge and your insurance allowed amount, you may be protected under the No Surprises Act, which bans balance billing for emergency and non-emergency services at in-network facilities. Additionally, ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full within 30 days, bypassing costly insurance claims processing. Always dispute any unexpected charges in writing rather than accepting summary bills, and confirm that your provider is truly in