Colonoscopy (diagnostic)
Facility: UPMC Mercy
Billing Code: 45378 (CPT)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.
A fair price for a Colonoscopy (diagnostic) is about $901 (about 0.9× the $950 Medicare rate). UPMC Mercy charges insurers about $913, or about $1,500 in cash — about the fair price. Located in Pittsburgh, PA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $208 | 22% |
| Blue Cross Blue Shieldmajor | $268 - $4,521 | 28% |
| Aetnamajor | $698 - $1,000 | 73% |
| Cignamajor | $850 - $1,500 | 89% |
| AmeriHealth | $286 - $939 | 30% |
| UPMC Health Plan | $199 - $2,316 | 21% |
| + 7 smaller / regional plans | $308 - $2,250 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at UPMC Mercy
Compare: Colonoscopy (diagnostic) at other PA hospitals
- St Mary Medical Center · Langhorne $90
- Uniontown Hospital · Uniontown $181
- UPMC Wellsboro · Wellsboro $201
- UPMC Muncy · Muncy $204
- Chan Soon- Shiong Medical Center at Windber · Windber $211
- Titusville Area Hospital · Titusville $226
- Magee Memorial Hospital for Convalescents · Philadelphia $244
- Pottstown Hospital · Pottstown $253
Insurance negotiated median for the same procedure, sorted lowest first.