CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: University Health Lakewood Medical Center

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45378
Insurance Median: $707
Cash Discount Price: $1,536
vs. Medicare Baseline: 0.74x Medicare

The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at University Health Lakewood Medical Center is $707. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,536. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.74x the Medicare baseline. Located in 7900 Lee's Summit Rd, Kansas City, MO.

Cash / Self-Pay

$1,536

Average discount available for prompt cash payment at this facility.

Insurance Median

$707

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: $1,536 (162%)

Insurance Median: $707 (74%)

Cash: $1,536 (162% of Medicare)

Ins. Median: $707 (74% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Humana	$175	18%
Aetna	$290	31%
Blue Cross Blue Shield	$646 - $945	68%
Cigna	$800	84%
UnitedHealthcare	$1,437	151%
Oscar Exchange	$3,100	326%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,536.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University Health Lakewood Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45378.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.