Colonoscopy (diagnostic)
Facility: Ascension Via Christi Rehabilitation Hospital 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 |
|---|---|---|
| Aetna | $819 | 86% |
| Humana | $843 | 89% |
| Vc Hope | $843 | 89% |
| Va | $843 | 89% |
| Medicare (plans) | $843 - $860 | 89% |
| UnitedHealthcare | $860 - $2,361 | 91% |
| Blue Cross Blue Shield | $860 | 91% |
| Smarthealth | $1,180 | 124% |
| Medicaid / KanCare | $1,433 | 151% |
Consumer Guidance & Cost Commentary
For the diagnostic colonoscopy procedure at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates range from $819 to $2,361 depending on the insurance carrier. While the median negotiated rate is $852, commercial payers like UnitedHealthcare and Smarthealth have higher maximums of $2,361 and $1,180 respectively, reflecting the variability in insurance contracts. This facility operates as a Part A provider, and its pricing structure is anchored by a Medicare benchmark of $950.10. For patients with high-deductible plans, paying cash upfront may be more cost-effective than relying on insurance, as the cash price can sometimes be lower than the insurer's negotiated rate, which includes administrative overhead and claim processing costs.
To minimize out-of-pocket expenses, patients should actively request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing costly insurance billing cycles. It is also important to avoid accepting summary bills without reviewing the full itemized statement, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected through a formal written audit. By comparing the facility's rates directly to the Medicare benchmark and seeking prompt-pay reductions, consumers can ensure they are not overpaying for this essential service.