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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$247.96 – $6,368.00

Negotiated median

$1,859.14

CPT 45380 Colonoscopy with biopsy · Showing 200 of 1,728 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Holy Spirit Hospital	PA	Chargemaster	N/A	both	gross	$7,664.00
Temple University Hospital	PA	Chargemaster	N/A	outpatient	gross	$6,996.00
Temple University Hospital	PA	Chargemaster	N/A	inpatient	gross	$6,996.00
Upmc Mercy Hospital	PA	Chargemaster	N/A	inpatient	gross	$5,583.00
Upmc Mercy Hospital	PA	Chargemaster	N/A	outpatient	gross	$5,583.00
Upmc Mckeesport	PA	Chargemaster	N/A	inpatient	gross	$5,056.00
Upmc Mckeesport	PA	Chargemaster	N/A	outpatient	gross	$5,056.00
Upmc Jameson	PA	Chargemaster	N/A	outpatient	gross	$4,127.00
Upmc Jameson	PA	Chargemaster	N/A	inpatient	gross	$4,127.00
Uniontown Hospital	PA	Chargemaster	N/A	outpatient	gross	$1,509.00
Uniontown Hospital	PA	Chargemaster	N/A	outpatient	gross	$1,047.00
Uniontown Hospital	PA	Chargemaster	N/A	outpatient	gross	$978.00
Uniontown Hospital	PA	Chargemaster	N/A	outpatient	gross	$517.00
Upmc Mercy Hospital	PA	Cash pay	N/A	inpatient	cash	$3,349.80
Upmc Mercy Hospital	PA	Cash pay	N/A	outpatient	cash	$3,349.80
Upmc Mckeesport	PA	Cash pay	N/A	inpatient	cash	$3,033.60
Upmc Mckeesport	PA	Cash pay	N/A	outpatient	cash	$3,033.60
Upmc Jameson	PA	Cash pay	N/A	outpatient	cash	$2,476.20
Upmc Jameson	PA	Cash pay	N/A	inpatient	cash	$2,476.20
Holy Spirit Hospital	PA	Cash pay	N/A	both	cash	$1,830.93
Uniontown Hospital	PA	Cash pay	N/A	outpatient	cash	$754.50
Uniontown Hospital	PA	Cash pay	N/A	outpatient	cash	$523.50
Uniontown Hospital	PA	Cash pay	N/A	outpatient	cash	$489.00
Uniontown Hospital	PA	Cash pay	N/A	outpatient	cash	$258.50
Upmc Jameson	PA	[De-identified Min]	—	inpatient	min	$3,095.25
Upmc Mckeesport	PA	[De-identified Min]	—	inpatient	min	$1,754.43
Upmc Mercy Hospital	PA	[De-identified Min]	—	inpatient	min	$1,708.40
Temple University Hospital	PA	[De-identified Min]	—	inpatient	min	$1,308.25
Holy Spirit Hospital	PA	[De-identified Min]	—	both	min	$368.00
Temple University Hospital	PA	[De-identified Min]	—	outpatient	min	$315.59
Upmc Mckeesport	PA	[De-identified Min]	—	outpatient	min	$247.96
Upmc Jameson	PA	[De-identified Min]	—	outpatient	min	$247.96
Upmc Mercy Hospital	PA	[De-identified Min]	—	outpatient	min	$247.96
Uniontown Hospital	PA	[De-identified Min]	—	outpatient	min	$171.55
Temple University Hospital	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$6,368.00
Upmc Mercy Hospital	PA	health payors organization	Commercial	inpatient	negotiated	$5,024.70
Upmc Mercy Hospital	PA	health payors organization	Commercial	outpatient	negotiated	$5,024.70
Temple University Hospital	PA	Blue Cross Blue Shield	Workers' Comp	outpatient	negotiated	$4,889.00
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Commercial - Indemnity	outpatient	negotiated	$4,520.78
Upmc Mercy Hospital	PA	american healthcare group	Commercial	outpatient	negotiated	$4,466.40
Upmc Mckeesport	PA	Humana	Commercial	inpatient	negotiated	$4,297.60
Upmc Mckeesport	PA	Humana	Commercial	outpatient	negotiated	$4,297.60
Temple University Hospital	PA	Blue Cross Blue Shield	Indemnity	outpatient	negotiated	$4,243.41
Temple University Hospital	PA	Blue Cross Blue Shield	HMO/PPO	outpatient	negotiated	$4,148.48
Temple University Hospital	PA	Blue Cross Blue Shield	Temple Member	outpatient	negotiated	$4,148.48
Upmc Mckeesport	PA	private health care systems	PPO	inpatient	negotiated	$4,044.80
Upmc Mckeesport	PA	private health care systems	PPO	outpatient	negotiated	$4,044.80
Upmc Mckeesport	PA	selectcare	Commercial	inpatient	negotiated	$4,044.80
Upmc Mckeesport	PA	selectcare	Commercial	outpatient	negotiated	$4,044.80
Temple University Hospital	PA	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$4,007.51
Temple University Hospital	PA	geisinger	Commercial	outpatient	negotiated	$3,750.33
Upmc Mckeesport	PA	Blue Cross Blue Shield	Commercial - Indemnity	outpatient	negotiated	$3,719.96
Upmc Jameson	PA	national provider network	PPO	inpatient	negotiated	$3,631.76
Upmc Jameson	PA	national provider network	PPO	outpatient	negotiated	$3,631.76
Upmc Mckeesport	PA	First Health	Commercial	inpatient	negotiated	$3,539.20
Upmc Mckeesport	PA	First Health	Commercial	outpatient	negotiated	$3,539.20
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Commercial - Social Mission Indemnity	outpatient	negotiated	$3,375.71
Upmc Mercy Hospital	PA	Cigna	Commercial	inpatient	negotiated	$3,349.80
Upmc Mercy Hospital	PA	Cigna	Commercial	outpatient	negotiated	$3,349.80
Upmc Jameson	PA	Humana	Commercial	inpatient	negotiated	$3,301.60
Upmc Jameson	PA	Humana	Commercial	outpatient	negotiated	$3,301.60
Upmc Jameson	PA	Multiplan	PPO (inc. Auto and Worker's Compensation)	outpatient	negotiated	$3,301.60
Upmc Jameson	PA	Multiplan	PPO (inc. Auto and Worker's Compensation)	inpatient	negotiated	$3,095.25
Upmc Mckeesport	PA	Cigna	Commercial	inpatient	negotiated	$3,033.60
Upmc Mckeesport	PA	Cigna	Commercial	outpatient	negotiated	$3,033.60
Upmc Mercy Hospital	PA	intergroup	PPO	inpatient	negotiated	$2,791.50
Upmc Mercy Hospital	PA	intergroup	PPO	outpatient	negotiated	$2,791.50
Upmc Mckeesport	PA	Blue Cross Blue Shield	Commercial - Social Mission Indemnity	outpatient	negotiated	$2,777.59
Temple University Hospital	PA	keystone first	CHIP	outpatient	negotiated	$2,634.16
Temple University Hospital	PA	keystone first	Community HealthChoices	outpatient	negotiated	$2,634.16
Temple University Hospital	PA	Aetna	Commercial	outpatient	negotiated	$2,605.00
Temple University Hospital	PA	Aetna	First Health	outpatient	negotiated	$2,605.00
Temple University Hospital	PA	Aetna	Workers' Comp	outpatient	negotiated	$2,605.00
Upmc Mckeesport	PA	intergroup	PPO	inpatient	negotiated	$2,528.00
Upmc Mckeesport	PA	intergroup	PPO	outpatient	negotiated	$2,528.00
Upmc Mercy Hospital	PA	First Health	Commercial	inpatient	negotiated	$2,456.52
Upmc Mercy Hospital	PA	First Health	Commercial	outpatient	negotiated	$2,456.52
Temple University Hospital	PA	UnitedHealthcare	Options PPO	inpatient	negotiated	$2,378.64
Temple University Hospital	PA	UnitedHealthcare	Options PPO	outpatient	negotiated	$2,378.64
Upmc Mckeesport	PA	upmc health plan	CHIP	outpatient	negotiated	$2,298.97
Upmc Jameson	PA	upmc health plan	CHIP	outpatient	negotiated	$2,298.97
Upmc Mercy Hospital	PA	Cigna	New Business ASO	outpatient	negotiated	$2,289.03
Upmc Mercy Hospital	PA	Aetna	EBR ASO	inpatient	negotiated	$2,233.20
Upmc Mercy Hospital	PA	Aetna	EBR ASO	outpatient	negotiated	$2,233.20
Upmc Mercy Hospital	PA	Cigna	Commercial	inpatient	negotiated	$2,233.20
Upmc Mercy Hospital	PA	Cigna	Commercial	outpatient	negotiated	$2,233.20
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Managed Care	outpatient	negotiated	$2,201.11
Upmc Mercy Hospital	PA	Aetna	EBR FI	inpatient	negotiated	$2,121.54
Upmc Mercy Hospital	PA	Aetna	EBR FI	outpatient	negotiated	$2,121.54
Temple University Hospital	PA	occunet	Workers' Comp	outpatient	negotiated	$2,075.32
Upmc Mckeesport	PA	Blue Cross Blue Shield	Managed Care	outpatient	negotiated	$2,065.14
Upmc Mckeesport	PA	Aetna	EBR ASO	inpatient	negotiated	$2,022.40
Upmc Mckeesport	PA	Aetna	EBR ASO	outpatient	negotiated	$2,022.40
Upmc Mckeesport	PA	Aetna	NBR ASO/FI	outpatient	negotiated	$2,022.40
Upmc Mckeesport	PA	Cigna	Commercial	inpatient	negotiated	$2,022.40
Upmc Mckeesport	PA	Cigna	Commercial	outpatient	negotiated	$2,022.40
Upmc Mckeesport	PA	Cigna	New Business ASO	outpatient	negotiated	$2,022.40
Temple University Hospital	PA	prime health services	PPO	outpatient	negotiated	$2,002.12
Upmc Mckeesport	PA	Aetna	Home Depot Employer Group	outpatient	negotiated	$1,981.95
Temple University Hospital	PA	Blue Cross Blue Shield	PIP	inpatient	negotiated	$1,955.38
Upmc Mercy Hospital	PA	bravo	Medicare	outpatient	negotiated	$1,954.05
Upmc Mckeesport	PA	Aetna	NBR ASO/FI	inpatient	negotiated	$1,946.56
Upmc Mckeesport	PA	Cigna	New Business ASO	inpatient	negotiated	$1,946.56
Upmc Mckeesport	PA	Aetna	EBR FI	inpatient	negotiated	$1,921.28
Upmc Mckeesport	PA	Aetna	EBR FI	outpatient	negotiated	$1,921.28
Temple University Hospital	PA	Blue Cross Blue Shield	PIP	outpatient	negotiated	$1,916.90
Upmc Mckeesport	PA	Aetna	Home Depot Employer Group	inpatient	negotiated	$1,906.11
Upmc Mercy Hospital	PA	Aetna	NBR ASO/FI	inpatient	negotiated	$1,898.22
Upmc Mercy Hospital	PA	Cigna	New Business ASO	inpatient	negotiated	$1,898.22
Temple University Hospital	PA	naphcare	Correctional Healthcare	outpatient	negotiated	$1,886.65
Temple University Hospital	PA	Oscar Health	Pennsylvania Health Plan	outpatient	negotiated	$1,886.65
Upmc Mercy Hospital	PA	Aetna	Home Depot Employer Group	inpatient	negotiated	$1,859.14
Upmc Jameson	PA	upmc health plan	Commercial	outpatient	negotiated	$1,857.15
Upmc Mckeesport	PA	Aetna	Neighborhood Network	outpatient	negotiated	$1,820.16
Upmc Mckeesport	PA	Aetna	Neighborhood Network	inpatient	negotiated	$1,754.43
Upmc Jameson	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$1,741.00
Upmc Mercy Hospital	PA	Aetna	NBR ASO/FI	outpatient	negotiated	$1,730.73
Upmc Mercy Hospital	PA	Aetna	Neighborhood Network	inpatient	negotiated	$1,708.40
Upmc Mercy Hospital	PA	Aetna	Home Depot Employer Group	outpatient	negotiated	$1,700.02
Temple University Hospital	PA	health partners plans	CHIP	outpatient	negotiated	$1,670.00
Temple University Hospital	PA	health partners plans	Medicaid	outpatient	negotiated	$1,670.00
Temple University Hospital	PA	Cigna	Commercial	outpatient	negotiated	$1,659.12
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Managed Care - Social Mission	outpatient	negotiated	$1,643.66
Temple University Hospital	PA	gateway health plan	Medicare Advantage	outpatient	negotiated	$1,572.21
Temple University Hospital	PA	wtc health program	Government	outpatient	negotiated	$1,572.21
Upmc Mercy Hospital	PA	Aetna	Neighborhood Network	outpatient	negotiated	$1,557.66
Upmc Mckeesport	PA	Blue Cross Blue Shield	Managed Care - Social Mission	outpatient	negotiated	$1,542.02
Upmc Jameson	PA	occunet	Commercial	outpatient	negotiated	$1,517.55
Temple University Hospital	PA	elder health	PACE	outpatient	negotiated	$1,509.32
Temple University Hospital	PA	geisinger	Medicare Advantage	outpatient	negotiated	$1,383.55
Temple University Hospital	PA	pennsylvania health and wellness	Medicare Advantage	outpatient	negotiated	$1,383.55
Temple University Hospital	PA	Aetna	Medicare Advantage	outpatient	negotiated	$1,358.39
Temple University Hospital	PA	upmc health plan	Medicare Advantage	outpatient	negotiated	$1,345.81
Temple University Hospital	PA	clover health	Medicare Advantage	outpatient	negotiated	$1,333.24
Temple University Hospital	PA	Cigna	Medicare DSNP/Medicare HMO/Medicare PPO	outpatient	negotiated	$1,320.66
Temple University Hospital	PA	keystone first	Choice DSNP	outpatient	negotiated	$1,320.66
Temple University Hospital	PA	Blue Cross Blue Shield	Workers' Comp	inpatient	negotiated	$1,308.25
Temple University Hospital	PA	Aetna	Coventry	outpatient	negotiated	$1,295.50
Temple University Hospital	PA	health partners plans	Medicare Advantage	outpatient	negotiated	$1,282.93
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$1,282.93
Temple University Hospital	PA	innovage	PACE	outpatient	negotiated	$1,282.93
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$1,257.77
Temple University Hospital	PA	Humana	Medicare Advantage	outpatient	negotiated	$1,257.77
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage HMO/Medicare Advantage PPO	outpatient	negotiated	$1,257.77
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage Select 65	outpatient	negotiated	$1,257.77
Temple University Hospital	PA	UnitedHealthcare	VACCN	outpatient	negotiated	$1,257.77
Upmc Mckeesport	PA	Aetna	Medicare	outpatient	negotiated	$1,236.52
Upmc Mckeesport	PA	amerihealth caritas	Medicare	outpatient	negotiated	$1,214.04
Upmc Mckeesport	PA	pa health & wellness	Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare)	outpatient	negotiated	$1,214.04
Upmc Mckeesport	PA	Blue Cross Blue Shield	Medicare	outpatient	negotiated	$1,214.04
Upmc Jameson	PA	amerihealth caritas	Medicare	outpatient	negotiated	$1,214.04
Upmc Jameson	PA	Cigna	Medicare	outpatient	negotiated	$1,214.04
Upmc Jameson	PA	pa health & wellness	Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare)	outpatient	negotiated	$1,214.04
Upmc Mercy Hospital	PA	amerihealth caritas	Medicare	outpatient	negotiated	$1,214.04
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Medicare	outpatient	negotiated	$1,214.04
Upmc Jameson	PA	Blue Cross Blue Shield	Medicare	outpatient	negotiated	$1,213.93
Upmc Mckeesport	PA	Aetna	Medicare	outpatient	negotiated	$1,180.32
Upmc Mercy Hospital	PA	Aetna	Medicare	outpatient	negotiated	$1,180.32
Upmc Jameson	PA	upmc health plan	EPO Partners/Partners/Select	outpatient	negotiated	$1,173.80
Upmc Jameson	PA	upmc health plan	Managed Medicare	outpatient	negotiated	$1,171.55
Upmc Mckeesport	PA	upmc health plan	EPO Partners/EPO Select Plan/HMO	outpatient	negotiated	$1,153.11
Upmc Jameson	PA	Humana	Medicare	outpatient	negotiated	$1,124.11
Upmc Jameson	PA	UnitedHealthcare	Medicare	outpatient	negotiated	$1,124.11
Upmc Jameson	PA	Aetna	Medicare	outpatient	negotiated	$1,124.11
Temple University Hospital	PA	Blue Cross Blue Shield	Indemnity	outpatient	negotiated	$1,049.40
Temple University Hospital	PA	Blue Cross Blue Shield	Managed Care	outpatient	negotiated	$1,049.40
Temple University Hospital	PA	Blue Cross Blue Shield	PPO	outpatient	negotiated	$1,049.40
Upmc Mckeesport	PA	upmc health plan	Managed Medicare	outpatient	negotiated	$1,041.94
Upmc Jameson	PA	Cigna	Commercial	outpatient	negotiated	$953.25
Upmc Mckeesport	PA	upmc work partners	Workers Comp	outpatient	negotiated	$878.80
Upmc Jameson	PA	upmc work partners	Workers Comp	outpatient	negotiated	$845.68
Upmc Mckeesport	PA	upmc health plan	Commercial	outpatient	negotiated	$824.84
Temple University Hospital	PA	upmc health plan	Community HealthChoices	outpatient	negotiated	$766.43
Upmc Jameson	PA	Blue Cross Blue Shield	Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage	outpatient	negotiated	$742.68
Upmc Mckeesport	PA	Blue Cross Blue Shield	Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage	outpatient	negotiated	$736.75
Temple University Hospital	PA	pennsylvania health and wellness	Community HealthChoices	outpatient	negotiated	$503.25
Upmc Mckeesport	PA	pa health & wellness	PA Medicaid HMO	outpatient	negotiated	$384.16
Upmc Jameson	PA	pa health & wellness	PA Medicaid HMO	outpatient	negotiated	$384.16
Upmc Jameson	PA	UnitedHealthcare	PA CHIP/PA Medicaid	outpatient	negotiated	$368.00
Upmc Mercy Hospital	PA	amerihealth caritas	Community HealthChoices (CHC)/Medicaid	outpatient	negotiated	$356.70
Upmc Mckeesport	PA	amerihealth caritas	Community HealthChoices (CHC)/Medicaid	outpatient	negotiated	$351.90
Upmc Mckeesport	PA	Blue Cross Blue Shield	Medicaid	outpatient	negotiated	$334.30
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Medicaid	outpatient	negotiated	$334.30
Temple University Hospital	PA	amerihealth caritas	Transplant	outpatient	negotiated	$315.59
Upmc Jameson	PA	geisinger	Medicaid/CHIP	outpatient	negotiated	$313.31
Upmc Jameson	PA	amerihealth caritas	Community HealthChoices (CHC)/Medicaid	outpatient	negotiated	$293.07
Upmc Jameson	PA	Aetna	Medicaid	outpatient	negotiated	$254.72
Upmc Mckeesport	PA	UnitedHealthcare	PA CHIP/PA Medicaid	outpatient	negotiated	$247.96
Upmc Mckeesport	PA	upmc health plan	Managed Medicaid	outpatient	negotiated	$247.96
Upmc Jameson	PA	upmc health plan	Managed Medicaid	outpatient	negotiated	$247.96
Temple University Hospital	PA	[De-identified Max]	—	outpatient	max	$6,368.00
Holy Spirit Hospital	PA	[De-identified Max]	—	both	max	$6,131.20
Upmc Mercy Hospital	PA	[De-identified Max]	—	inpatient	max	$5,024.70
Upmc Mercy Hospital	PA	[De-identified Max]	—	outpatient	max	$5,024.70
Upmc Mckeesport	PA	[De-identified Max]	—	inpatient	max	$4,297.60
Upmc Mckeesport	PA	[De-identified Max]	—	outpatient	max	$4,297.60
Upmc Jameson	PA	[De-identified Max]	—	outpatient	max	$3,631.76
Upmc Jameson	PA	[De-identified Max]	—	inpatient	max	$3,631.76
Uniontown Hospital	PA	[De-identified Max]	—	outpatient	max	$2,574.87
Temple University Hospital	PA	[De-identified Max]	—	inpatient	max	$2,378.64

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).