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Colposcopy with biopsy: what insurers pay

Magnified exam of the cervix with biopsy and endocervical sampling. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 57454: Bx/Curett of Cervix W/Scope

100 hospitals in 34 markets. National Medicare rate $311, surgery center $78.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA4———$1,343–$1,893
Austin TX2———$632–$2,148
Boston MA7$603$867$879$524–$1,646
Chicago IL7$393$496$828$370–$1,121
Cleveland OH5$208$1,184$1,226$168–$1,236
Dallas-Fort Worth TX4———$822–$1,160
Denver CO7$1,228$1,475$1,636$1,154–$1,726
Detroit MI8$244$281$290$169–$328
Georgia (statewide)1———$1,580–$1,580
Houston TX1———$2,052–$2,052
Illinois (statewide)1———$167–$167
Indianapolis IN3———$169–$226
Kansas (statewide)1———$259–$259
Las Vegas NV2———$790–$2,238
Los Angeles CA1———$1,159–$1,159
Miami-Fort Lauderdale FL2———$660–$1,850
Minneapolis-St. Paul MN1———$559–$559
Nashville TN4———$309–$1,535
New York (statewide)1———$757–$757
New York City2———$608–$911
Ohio (statewide)1———$601–$601
Philadelphia PA3———$613–$786
Phoenix AZ3———$1,448–$1,756
Pittsburgh PA1———$782–$782
Portland OR6$872$872$1,089$872–$1,161
Richmond VA2———$1,948–$2,009
San Antonio TX1———$2,035–$2,035
San Diego CA1———$392–$392
San Francisco Bay Area CA1———$430–$430
Seattle-Tacoma WA6$1,074$1,101$1,181$928–$1,199
St. Louis MO2———$2,022–$2,022
Tampa FL2———$1,214–$1,400
Washington DC6$949$1,418$2,018$810–$2,098
Wisconsin (statewide)1———$981–$981
HospitalMarketMedian across insurers× MedicareInsurersFile date
Sarah Bush Lincoln Health CenterIllinois (statewide)$1670.5×32026-06-03
Cleveland Clinic (main campus)Cleveland OH$1680.6×12026-06-16
Hendricks Regional HealthIndianapolis IN$1690.5×42026-05-20
Mclaren Port HuronDetroit MI$1690.6×32025-12-31
Cleveland Clinic Hillcrest HospitalCleveland OH$2080.7×12026-06-15
Ascension St Vincent AndersonIndianapolis IN$2260.7×12026-01-01
Ascension St Vincent CarmelIndianapolis IN$2260.7×12026-01-01
Corewell Health Dearborn HospitalDetroit MI$2430.8×12026-05-01
Trinity Health Oakland HospitalDetroit MI$2450.8×162026-03-31
Menorah Medical CenterKansas (statewide)$2590.9×22026-09-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$2740.9×22026-05-01
Corewell Health William Beaumont University HospitDetroit MI$2880.9×22026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$2880.9×22026-05-01
Henry Ford Health Rochester HospitalDetroit MI$2941.0×22026-01-01
Vanderbilt University Medical CenterNashville TN$3091.1×82025-10-01
Harper University HospitalDetroit MI$3281.1×32026-09-02
Endeavor Health Northwest Community HospitalChicago IL$3701.1×32026-04-01
University of Chicago Medical CenterChicago IL$3761.1×12026-04-01
Scripps Green HospitalSan Diego CA$3921.0×12026-03-30
Endeavor Health Edward HospitalChicago IL$4101.3×22026-04-01
John Muir Medical Center - Walnut Creek CampusSan Francisco Bay Area CA$4301.0×12026-03-23
Loyola University Medical CenterChicago IL$4961.5×12026-03-31
Beth Israel Deaconess Hospital - PlymouthBoston MA$5241.4×12026-04-01
Anna Jaques HospitalBoston MA$5521.5×32026-04-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$5591.8×32026-03-31
Endeavor Health Evanston HospitalChicago IL$5841.8×22026-04-01
Bethesda NorthOhio (statewide)$6012.0×42026-04-01
Montefiore Medical CenterNew York City$6081.6×92026-04-01
Riddle Memorial HospitalPhiladelphia PA$6132.0×12026-04-01
Ascension Seton Medical Center AustinAustin TX$6322.1×22026-01-01
Beth Israel Deaconess Medical CenterBoston MA$6541.8×12026-04-01
Mount Sinai Medical Center Of Florida, IncMiami-Fort Lauderdale FL$6602.1×42026-03-13
Bryn Mawr HospitalPhiladelphia PA$6992.2×12026-04-01
Stony Brook University HospitalNew York (statewide)$7572.0×12026-06-10
Upmc Presbyterian ShadysidePittsburgh PA$7822.6×12026-03-06
Thomas Jefferson University HospitalPhiladelphia PA$7862.5×12026-09-15
University Medical Center of Southern NevadaLas Vegas NV$7902.5×72026-07-01
Medstar Georgetown University HospitalWashington DC$8102.3×32026-04-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$8222.7×22026-04-21
Winchester HospitalBoston MA$8672.4×22026-04-01
New England Baptist HospitalBoston MA$8722.4×42026-04-01
Legacy Emanuel Medical CenterPortland OR$8722.6×22026-04-01
Legacy Good Samaritan Medical CenterPortland OR$8722.6×22026-04-01
Legacy Mount Hood Medical CenterPortland OR$8722.6×22026-04-01
Legacy Meridian Park Medical CenterPortland OR$8722.6×22026-04-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$8862.4×22026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$9112.4×32026-01-01
Medstar Washington Hospital CenterWashington DC$9192.5×32026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$9282.6×52026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$9813.2×22026-01-01
Ascension Saint Thomas RutherfordNashville TN$1,0223.5×22026-01-01
Inova Alexandria HospitalWashington DC$1,0383.3×42026-04-01
Baylor University Medical CenterDallas-Fort Worth TX$1,0503.4×22026-06-29
Endeavor Health Elmhurst HospitalChicago IL$1,0723.3×22026-04-01
St Clare HospitalSeattle-Tacoma WA$1,0743.0×52026-02-28
St Anthony HospitalSeattle-Tacoma WA$1,0743.0×52026-02-28
Rush University Medical CenterChicago IL$1,1213.4×22026-09-25
Swedish Medical CenterSeattle-Tacoma WA$1,1283.2×42026-04-01
UCHealth University of Colorado HospitalDenver CO$1,1543.6×22025-11-01
Keck Hospital Of UscLos Angeles CA$1,1593.0×22026-04-01
Medical City PlanoDallas-Fort Worth TX$1,1603.8×22026-09-01
Medical City MckinneyDallas-Fort Worth TX$1,1603.8×22026-09-01
Providence St Vincent Medical CenterPortland OR$1,1613.4×12026-04-01
Providence Portland Medical CenterPortland OR$1,1613.4×12026-04-01
Cleveland Clinic Lutheran HospitalCleveland OH$1,1844.1×22026-06-15
Multicare Good Samaritan HospitalSeattle-Tacoma WA$1,1993.4×72026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$1,1993.4×72026-08-27
Tampa General HospitalTampa FL$1,2143.8×22026-04-01
University Hospitals - Elyria Medical CenterCleveland OH$1,2264.3×22026-07-14
Adventhealth PorterDenver CO$1,2283.8×42026-04-01
Adventhealth ParkerDenver CO$1,2283.8×42026-04-01
Medina HospitalCleveland OH$1,2364.3×22026-06-15
Emory University HospitalAtlanta GA$1,3434.4×12026-04-01
Morton Plant HospitalTampa FL$1,4004.4×22026-01-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$1,4484.5×32026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$1,4484.5×32026-04-01
HCA HealthONE SwedishDenver CO$1,4754.6×32026-09-01
TriStar StoneCrest Medical CenterNashville TN$1,5225.2×22026-09-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$1,5355.3×32026-01-01
HCA HealthONE Sky RidgeDenver CO$1,5474.8×32026-09-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$1,5805.9×12026-04-01
Beverly Hospital CorporationBoston MA$1,6464.5×32026-04-01
Hca Healthone RoseDenver CO$1,7265.4×32026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$1,7265.4×32026-09-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$1,7565.4×22026-04-01
George Washington Univ HospitalWashington DC$1,7975.0×22026-09-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$1,8505.8×12026-06-15
Piedmont Atlanta HospitalAtlanta GA$1,8936.2×52026-07-01
Piedmont Fayette HospitalAtlanta GA$1,8936.2×52026-07-01
Piedmont Newnan HospitalAtlanta GA$1,8936.2×52026-07-01
Henrico Doctors' HospitalRichmond VA$1,9486.6×22026-09-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$2,0096.8×22026-09-01
Mercy Hospital St LouisSt. Louis MO$2,0226.6×12026-06-04
Mercy Hospital SouthSt. Louis MO$2,0226.6×12026-06-10
Methodist HospitalSan Antonio TX$2,0356.7×42026-09-01
Houston Methodist HospitalHouston TX$2,0526.7×12026-04-01
Reston Hospital CenterWashington DC$2,0926.6×22026-09-01
Stonesprings Hospital CenterWashington DC$2,0986.7×22026-09-01
St David's Medical CenterAustin TX$2,1487.0×42026-09-01
Henderson HospitalLas Vegas NV$2,2387.0×32026-09-01

Questions

How much do commercial insurers pay hospitals for colposcopy with biopsy?

Across 100 hospitals in 34 metro areas that post a usable dollar rate, the median commercial rate for CPT 57454, hospital outpatient is $1,002, 3.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $578 to $1,448. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for colposcopy with biopsy?

Medicare's national hospital outpatient rate for CPT 57454 is $311 and its surgery-center rate is $78, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for colposcopy with biopsy?

Lowest medians: Sarah Bush Lincoln Health Center ($167), Cleveland Clinic (main campus) ($168), Hendricks Regional Health ($169). Highest: Henderson Hospital ($2,238), St David's Medical Center ($2,148), Stonesprings Hospital Center ($2,098). Coverage is limited to the markets listed on this page.