Colonoscopy (diagnostic)
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 45378 (CPT)
- CPT Billing Code: 45378
- Insurance Median: $843
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.89x 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 |
|---|---|---|
| Providrs Care | $213 - $427 | 22% |
| UnitedHealthcare | $225 - $2,361 | 24% |
| Aetna | $234 | 25% |
| Medicaid / KanCare | $234 - $236 | 25% |
| Tricare | $691 | 73% |
| Medicare (plans) | $843 - $860 | 89% |
| Humana | $843 - $852 | 89% |
| Va | $843 | 89% |
| Smarthealth | $1,180 | 124% |
| Blue Cross Blue Shield | $1,431 - $1,506 | 151% |
| Ambetter / Centene | $1,433 | 151% |
Consumer Guidance & Cost Commentary
For a diagnostic colonoscopy at Ascension Via Christi Hospital Manhattan, the negotiated rates across 11 insurance plans range from $213 to $1,506, with a median negotiated amount of $843. This figure is significantly higher than the Medicare benchmark of $950.10, which serves as the federal cost baseline for this service. While commercial contracts often average 200% to 300% of Medicare rates, the facility's median negotiated rate of $843 falls below the typical commercial markup, suggesting a relatively competitive in-network agreement. However, patients should be aware that cash-pay options are not listed in this report, and while self-pay or prompt-pay discounts (typically 20% to 50%) can reduce costs by bypassing administrative fees, these rates must be confirmed directly with the hospital before scheduling to ensure they are applied correctly.
The facility is located in Manhattan, Kansas (ZIP 66502), and operates as a voluntary non-profit acute care hospital. Although specific cash or state/county average data points are not provided in this dataset, the absence of a cash median suggests that out-of-pocket costs may vary significantly depending on the patient's plan. To avoid unexpected balance billing, which is prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, patients should verify their coverage status and request a waiver of insurance submission if they choose to pay cash upfront. It is also advisable to request an itemized bill before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered, which can be corrected through a formal written audit dispute