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Colonoscopy diagnostic

CPT 45378 · negotiated-rate distribution across hospitals in PA

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Hospitals
57
Min
$274.96
Median
$975.00
Max
$1,758.75
Range multiplier
6.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield35227$201.26$997.01$6,300.0031.3×
Aetna35203$180.50$1,000.00$6,316.0035.0×
upmc health plan33117$198.55$886.42$2,874.9014.5×
Cigna33107$298.41$1,000.00$5,035.0016.9×
UnitedHealthcare31103$189.53$930.05$6,368.0033.6×
pa health & wellness2553$306.94$307.61$2,315.527.5×
amerihealth caritas3052$198.55$281.78$2,208.3211.1×
Multiplan1152$812.00$1,950.00$2,618.203.2×
intergroup1546$812.00$2,000.00$3,704.004.6×
geisinger2442$198.55$271.95$3,750.3318.9×
First Health1336$1,100.00$1,716.25$1,966.301.8×
Humana1831$287.04$2,125.00$2,612.379.1×
private health care systems1328$596.00$2,000.00$2,612.374.4×
upmc work partners2727$728.81$769.69$796.951.1×
keystone first517$222.02$544.89$2,634.1611.9×
Medicaid217$99.28$244.20$599.336.0×
health partners plans (jefferson health plan)1717$245.84$272.19$272.191.1×
wirerope works512$1,390.00$1,390.00$1,532.341.1×
preferred healthcare system612$1,250.00$1,250.00$2,000.001.6×
america's choice512$2,000.00$2,102.40$2,362.501.2×
pennsylvania health and wellness39$402.97$1,075.21$2,834.497.0×
health partners plans39$974.51$1,670.00$1,670.001.7×
three rivers provider network48$835.46$1,542.73$2,480.403.0×
selectcare48$2,000.00$2,000.00$2,250.001.1×
jup geisinger commercial16$99.26$234.09$444.864.5×
health coalition partners46$1,750.00$2,000.00$2,250.001.3×
health plan of upper ohio valley36$869.21$886.59$1,297.761.5×
Medicare16$55.15$130.46$249.864.5×
jup health partners chip16$120.43$223.38$342.732.8×
ibc25$1,729.00$2,343.00$3,508.342.0×
gateway health plan35$216.60$827.27$1,221.835.6×
abington pro ibc14$97.01$157.80$242.592.5×
health payors organization24$2,125.00$2,187.50$2,250.001.1×
keystone autism services44$1,393.54$1,397.12$1,401.061.0×
national provider network24$2,050.00$2,125.00$2,200.001.1×
pa health_wellness chc24$234.65$405.28$575.902.5×
Anthem BCBS13$699.00$852.50$1,140.001.6×
fidelis23$1,003.17$1,875.00$1,875.001.9×
prime health services33$1,520.81$1,555.92$1,555.921.0×
clover health33$1,012.72$1,036.11$1,036.111.0×
elder health33$1,146.48$1,172.95$1,172.951.0×
occunet33$1,173.43$1,612.81$1,612.811.4×
Oscar Health33$1,433.10$1,466.19$1,466.191.0×
innovage33$997.01$997.01$1,156.031.2×
univera13$375.00$825.00$1,100.002.9×
keystone health plan33$2,200.80$2,200.80$2,581.951.2×
prime net12$2,050.00$2,050.00$2,050.001.0×
naphcare22$1,466.19$1,466.19$1,466.191.0×
independent health12$1,264.19$1,343.09$1,421.981.1×
wtc health program22$1,221.83$1,247.83$1,273.831.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Upmc MckeesportMckeesportPA13$2,500.00$1,500.00$198.55$990.00$3,719.96
Upmc Horizon HospitalGreenvillePA17$2,500.00$1,500.00$198.55$977.50$2,315.60
Upmc East HospitalMonroevillePA13$2,500.00$1,500.00$198.55$975.00$4,393.81
Community General Osteopathic Hosp.HarrisburgPA12$243.68$950.64$3,485.00
Upmc Pinnacle HospitalsHarrisburgPA12$243.68$950.64$3,485.00
Upmc St MargaretPittsburghPA12$2,500.00$1,500.00$198.55$950.00$4,393.81
Upmc Childrens Hospital Of PghPittsburghPA12$2,500.00$1,500.00$180.50$938.75$2,523.09
Upmc Magee-Womens HospitalPittsburghPA12$2,500.00$1,500.00$180.50$938.75$2,523.09
Altoona Regional Health SystemAltoonaPA12$2,500.00$1,500.00$180.50$938.75$2,523.09
The Childrens Home Of PittsburghPittsburghPA12$2,500.00$1,500.00$180.50$938.75$2,523.09
Upmc JamesonNew CastlePA13$2,500.00$1,500.00$198.55$938.71$2,315.60
Memorial HospitalYorkPA11$229.24$917.95$5,035.00
Upmc LititzLititzPA10$229.24$916.38$5,035.00
Upmc CarlisleCarlislePA12$229.24$890.91$5,035.00
Upmc HanoverHanoverPA12$229.24$889.69$5,035.00
Whs - GreeneWaynesburgPA8$207.57$886.59$2,004.57
The Washington HospitalWashingtonPA8$207.57$886.59$2,004.57
Curahealth Heritage ValleyBeaverPA9$1,341.93$362.32$180.50$805.16$1,341.93
Charles Cole Memorial HospitalCoudersportPA13$1,015.00$609.00$189.53$761.25$2,315.60
Aria HealthPhiladelphiaPA14$3,669.00$1,049.48$55.15$274.96$3,508.34
WellsboroWellsboroPA14$2,625.00$2,000.00$198.55$1,758.75$2,493.75
Upmc ShadysidePittsburghPA20$2,500.00$1,500.00$198.55$1,750.00$5,023.10
Upmc Bedford Memorial HospitalEverettPA17$2,500.00$1,500.00$189.53$1,550.00$2,493.18
Muncy Valley HospitalMuncyPA15$2,756.00$1,653.60$198.55$1,457.92$2,618.20
Upmc Northwest HospitalSenecaPA13$2,500.00$1,500.00$198.55$1,450.00$3,704.00
Thomas Jefferson Univ. HospitalPhiladelphiaPA8$2,843.00$1,098.72$99.28$1,235.97$6,300.00
Lock Haven HospitalLock HavenPA15$2,500.00$1,500.00$198.55$1,192.50$2,250.00
Divine Providence HospitalWilliamsportPA15$2,500.00$1,500.00$198.55$1,192.50$2,250.00
Williamsport Hospital & Medical CtrWilliamsportPA15$2,500.00$1,500.00$198.55$1,192.50$2,250.00
Temple University HospitalPhiladelphiaPA20$4,197.00$252.70$1,173.01$6,368.00
American Oncologic HospialPhiladelphiaPA16$4,197.00$290.28$1,165.59$6,316.00
Upmc PassavantPittsburghPA14$2,809.00$1,685.40$198.55$1,139.30$4,393.81
Jeanes HospitalPhiladelphiaPA18$4,197.00$340.33$1,075.21$4,300.00
Upmc HamotEriePA16$2,500.00$1,500.00$198.55$1,028.66$3,528.40
Upmc Mercy HospitalPittsburghPA16$2,500.00$1,500.00$198.55$1,000.00$4,520.78
Hampden Medical CenterEnolaPA0$5,926.00$1,864.91
Meyersdale Community HospitalMeyersdalePA0$2,684.02$1,073.61
Uniontown HospitalUniontownPA0$2,468.00$1,234.00
Miners HospitalHastingsPA0$2,766.90$1,106.76
Penn State Hershey Rehabilitation LlHummelstownPA0$5,926.00$1,541.35
Holy Spirit HospitalCamp HillPA0$5,926.00$1,415.72
Frick HospitalMount PleasantPA0$1,950.00$1,170.00
Clarion HospitalClarionPA0
Hospital Of The Univ Of PennaPhiladelphiaPA0$4,927.00$4,927.00
Windber Hospital Inc.WindberPA0$547.00$464.95
Pottstown Memorial Medical CenterPottstownPA0$2,537.00$634.25
Wayne Memorial HospitalHonesdalePA0$2,320.00$1,624.00
Miners HospitalHastingsPA0$2,766.90$1,106.76
Westmoreland Regional HospitalGreensburgPA0$1,950.00$1,170.00
Butler Memorial HospitalButlerPA0
Doylestown HospitalDoylestownPA0$3,922.50$3,922.50
St. Joseph Medical CenterReadingPA0$5,926.00$1,541.35
Latrobe Area HospitalLatrobePA0$1,950.00$1,170.00
Presbyterian Medical CenterPhiladelphiaPA0$4,779.00$4,779.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$4,927.00$4,927.00
Milton S. Hershey Medical CenterHersheyPA0$5,926.00$1,963.28
Physicians Care Surgical HospitalRoyersfordPA0$5,781.00$10,218

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.