Price AtlasInteractive atlas · All states · techysurgeon.comScreening colonoscopy (Medicare): what insurers pay
Medicare's screening colonoscopy codes: average risk (G0121) or high risk (G0105). Commercial plans bill 45378 with a screening modifier. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT G0121: Colon Ca Scrn Not Hi Rsk Ind
85 hospitals in 30 markets. National Medicare rate $950, surgery center $510.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $2,795–$3,774 |
| Austin TX | 1 | — | — | — | $2,960–$2,960 |
| Boston MA | 7 | $1,358 | $1,434 | $1,532 | $1,254–$1,794 |
| California (statewide) | 1 | — | — | — | $5,626–$5,626 |
| Chicago IL | 6 | $1,278 | $1,727 | $2,457 | $1,111–$3,342 |
| Cleveland OH | 5 | $3,107 | $3,304 | $3,728 | $2,525–$4,380 |
| Dallas-Fort Worth TX | 4 | — | — | — | $2,850–$3,284 |
| Denver CO | 7 | $1,783 | $2,124 | $2,201 | $1,508–$2,507 |
| Detroit MI | 4 | — | — | — | $818–$2,997 |
| Georgia (statewide) | 1 | — | — | — | $4,221–$4,221 |
| Houston TX | 1 | — | — | — | $3,578–$3,578 |
| Kansas (statewide) | 1 | — | — | — | $3,081–$3,081 |
| Las Vegas NV | 1 | — | — | — | $1,962–$1,962 |
| Los Angeles CA | 2 | — | — | — | $3,628–$4,167 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $3,052–$3,052 |
| Minneapolis-St. Paul MN | 2 | — | — | — | $1,397–$1,712 |
| Nashville TN | 4 | — | — | — | $1,142–$2,371 |
| New York (statewide) | 1 | — | — | — | $5,294–$5,294 |
| New York City | 2 | — | — | — | $1,393–$6,487 |
| Ohio (statewide) | 1 | — | — | — | $1,750–$1,750 |
| Philadelphia PA | 5 | $3,453 | $3,640 | $6,021 | $3,452–$8,155 |
| Phoenix AZ | 3 | — | — | — | $2,678–$2,788 |
| Pittsburgh PA | 1 | — | — | — | $3,730–$3,730 |
| Portland OR | 6 | $3,772 | $4,911 | $4,911 | $3,392–$4,911 |
| Richmond VA | 2 | — | — | — | $3,138–$3,138 |
| San Antonio TX | 1 | — | — | — | $1,919–$1,919 |
| San Francisco Bay Area CA | 1 | — | — | — | $8,345–$8,345 |
| Seattle-Tacoma WA | 4 | — | — | — | $2,781–$3,632 |
| Tampa FL | 2 | — | — | — | $963–$1,680 |
| Washington DC | 4 | — | — | — | $2,447–$2,598 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Trinity Health Oakland Hospital | Detroit MI | $818 | 0.9× | 16 | 2026-03-31 |
| Mclaren Port Huron | Detroit MI | $893 | 1.0× | 1 | 2025-12-31 |
| Morton Plant Hospital | Tampa FL | $963 | 1.0× | 2 | 2026-01-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $1,111 | 1.1× | 3 | 2026-04-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $1,142 | 1.3× | 1 | 2026-01-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $1,217 | 1.4× | 1 | 2026-01-01 |
| New England Baptist Hospital | Boston MA | $1,254 | 1.1× | 4 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $1,270 | 1.3× | 3 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $1,288 | 1.2× | 4 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $1,300 | 1.3× | 2 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $1,321 | 1.4× | 1 | 2026-01-01 |
| Vanderbilt University Medical Center | Nashville TN | $1,324 | 1.5× | 7 | 2025-10-01 |
| Montefiore Medical Center | New York City | $1,393 | 1.2× | 7 | 2026-04-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $1,397 | 1.4× | 4 | 2026-03-31 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $1,428 | 1.3× | 3 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $1,434 | 1.3× | 3 | 2026-04-01 |
| Winchester Hospital | Boston MA | $1,488 | 1.3× | 4 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $1,508 | 1.5× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $1,508 | 1.5× | 4 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $1,576 | 1.4× | 3 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $1,680 | 1.7× | 3 | 2026-04-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $1,712 | 1.8× | 4 | 2026-03-31 |
| Bethesda North | Ohio (statewide) | $1,750 | 1.9× | 4 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $1,794 | 1.6× | 5 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $1,919 | 2.0× | 5 | 2026-09-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $1,962 | 2.0× | 4 | 2026-07-01 |
| HCA HealthONE Swedish | Denver CO | $2,058 | 2.1× | 4 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $2,124 | 2.2× | 4 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $2,154 | 2.2× | 2 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $2,170 | 2.2× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $2,232 | 2.3× | 4 | 2026-09-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $2,371 | 2.7× | 5 | 2026-09-01 |
| Medstar Washington Hospital Center | Washington DC | $2,447 | 2.2× | 5 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $2,485 | 2.6× | 5 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $2,507 | 2.6× | 3 | 2025-11-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $2,525 | 2.9× | 3 | 2026-07-14 |
| University of Chicago Medical Center | Chicago IL | $2,558 | 2.6× | 2 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $2,598 | 2.7× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $2,598 | 2.7× | 4 | 2026-09-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $2,678 | 2.7× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $2,678 | 2.7× | 5 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $2,781 | 2.6× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $2,788 | 2.8× | 4 | 2026-04-01 |
| Piedmont Newnan Hospital | Atlanta GA | $2,795 | 3.0× | 6 | 2026-07-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $2,850 | 3.0× | 3 | 2026-06-29 |
| St David's Medical Center | Austin TX | $2,960 | 3.2× | 4 | 2026-09-01 |
| Harper University Hospital | Detroit MI | $2,997 | 3.2× | 2 | 2026-09-02 |
| Medical City Plano | Dallas-Fort Worth TX | $3,016 | 3.2× | 5 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $3,016 | 3.2× | 5 | 2026-09-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $3,052 | 3.1× | 3 | 2026-06-15 |
| Menorah Medical Center | Kansas (statewide) | $3,081 | 3.5× | 4 | 2026-09-01 |
| Medina Hospital | Cleveland OH | $3,107 | 3.5× | 3 | 2026-06-15 |
| Piedmont Atlanta Hospital | Atlanta GA | $3,127 | 3.4× | 6 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $3,127 | 3.4× | 6 | 2026-07-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $3,138 | 3.5× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $3,138 | 3.5× | 4 | 2026-09-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $3,284 | 3.5× | 2 | 2026-04-21 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $3,304 | 3.8× | 2 | 2026-06-15 |
| Rush University Medical Center | Chicago IL | $3,342 | 3.4× | 2 | 2026-09-25 |
| Swedish Medical Center | Seattle-Tacoma WA | $3,387 | 3.1× | 5 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $3,392 | 3.3× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $3,392 | 3.3× | 2 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $3,415 | 3.1× | 7 | 2026-08-27 |
| Thomas Jefferson University Hospital | Philadelphia PA | $3,452 | 3.6× | 4 | 2026-09-15 |
| Riddle Memorial Hospital | Philadelphia PA | $3,453 | 3.6× | 2 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $3,578 | 3.8× | 5 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $3,628 | 3.0× | 5 | 2026-04-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $3,632 | 3.4× | 6 | 2026-08-27 |
| Bryn Mawr Hospital | Philadelphia PA | $3,640 | 3.8× | 2 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $3,728 | 4.2× | 3 | 2026-06-15 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $3,730 | 4.1× | 1 | 2026-03-06 |
| Emory University Hospital | Atlanta GA | $3,774 | 4.0× | 6 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $4,167 | 3.5× | 1 | 2025-11-26 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $4,221 | 5.2× | 3 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $4,380 | 5.0× | 1 | 2026-06-16 |
| Legacy Emanuel Medical Center | Portland OR | $4,911 | 4.8× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $4,911 | 4.8× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $4,911 | 4.8× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $4,911 | 4.8× | 5 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $5,294 | 4.6× | 4 | 2026-06-10 |
| Los Robles Hospital & Medical Center | California (statewide) | $5,626 | 4.7× | 5 | 2026-09-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $6,021 | 5.8× | 3 | 2026-09-15 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $6,487 | 5.6× | 7 | 2026-01-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $8,155 | 7.8× | 1 | 2026-03-24 |
| Stanford Health Care | San Francisco Bay Area CA | $8,345 | 6.1× | 1 | 2026-04-01 |
CPT G0105: Colorectal Scrn; Hi Risk Ind
86 hospitals in 30 markets. National Medicare rate $950, surgery center $510.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $3,127–$3,774 |
| Austin TX | 1 | — | — | — | $2,960–$2,960 |
| Boston MA | 7 | $1,358 | $1,434 | $1,532 | $1,254–$1,794 |
| California (statewide) | 1 | — | — | — | $5,626–$5,626 |
| Chicago IL | 7 | $1,284 | $2,154 | $2,454 | $1,107–$3,352 |
| Cleveland OH | 5 | $3,107 | $3,304 | $3,728 | $2,525–$4,380 |
| Dallas-Fort Worth TX | 4 | — | — | — | $2,850–$3,284 |
| Denver CO | 7 | $1,783 | $2,124 | $2,201 | $1,508–$2,507 |
| Detroit MI | 4 | — | — | — | $818–$2,997 |
| Georgia (statewide) | 1 | — | — | — | $4,221–$4,221 |
| Houston TX | 1 | — | — | — | $3,578–$3,578 |
| Kansas (statewide) | 1 | — | — | — | $3,081–$3,081 |
| Las Vegas NV | 1 | — | — | — | $1,962–$1,962 |
| Los Angeles CA | 2 | — | — | — | $3,628–$4,167 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $3,052–$3,052 |
| Minneapolis-St. Paul MN | 2 | — | — | — | $1,397–$1,712 |
| Nashville TN | 4 | — | — | — | $1,154–$2,870 |
| New York (statewide) | 1 | — | — | — | $5,294–$5,294 |
| New York City | 2 | — | — | — | $1,393–$6,487 |
| Ohio (statewide) | 1 | — | — | — | $1,750–$1,750 |
| Philadelphia PA | 5 | $3,453 | $3,640 | $6,021 | $3,452–$8,155 |
| Phoenix AZ | 3 | — | — | — | $2,678–$2,788 |
| Pittsburgh PA | 1 | — | — | — | $4,719–$4,719 |
| Portland OR | 6 | $3,772 | $4,911 | $4,911 | $3,392–$4,911 |
| Richmond VA | 2 | — | — | — | $3,138–$3,138 |
| San Antonio TX | 1 | — | — | — | $1,919–$1,919 |
| San Francisco Bay Area CA | 1 | — | — | — | $8,345–$8,345 |
| Seattle-Tacoma WA | 4 | — | — | — | $2,781–$3,632 |
| Tampa FL | 2 | — | — | — | $963–$1,680 |
| Washington DC | 4 | — | — | — | $2,447–$2,598 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Trinity Health Oakland Hospital | Detroit MI | $818 | 0.9× | 16 | 2026-03-31 |
| Mclaren Port Huron | Detroit MI | $893 | 1.0× | 1 | 2025-12-31 |
| Morton Plant Hospital | Tampa FL | $963 | 1.0× | 2 | 2026-01-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $1,107 | 1.1× | 3 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $1,154 | 1.3× | 7 | 2025-10-01 |
| New England Baptist Hospital | Boston MA | $1,254 | 1.1× | 4 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $1,270 | 1.3× | 3 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $1,288 | 1.2× | 4 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $1,299 | 1.3× | 2 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $1,321 | 1.4× | 1 | 2026-01-01 |
| Montefiore Medical Center | New York City | $1,393 | 1.2× | 7 | 2026-04-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $1,397 | 1.4× | 4 | 2026-03-31 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $1,428 | 1.3× | 3 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $1,434 | 1.3× | 3 | 2026-04-01 |
| Winchester Hospital | Boston MA | $1,488 | 1.3× | 4 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $1,508 | 1.5× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $1,508 | 1.5× | 4 | 2026-04-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $1,535 | 1.7× | 1 | 2026-01-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $1,576 | 1.4× | 3 | 2026-04-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $1,637 | 1.8× | 1 | 2026-01-01 |
| Tampa General Hospital | Tampa FL | $1,680 | 1.7× | 3 | 2026-04-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $1,712 | 1.8× | 4 | 2026-03-31 |
| Bethesda North | Ohio (statewide) | $1,750 | 1.9× | 4 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $1,794 | 1.6× | 5 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $1,919 | 2.0× | 5 | 2026-09-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $1,962 | 2.0× | 4 | 2026-07-01 |
| HCA HealthONE Swedish | Denver CO | $2,058 | 2.1× | 4 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $2,124 | 2.2× | 4 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $2,154 | 2.2× | 2 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $2,170 | 2.2× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $2,232 | 2.3× | 4 | 2026-09-01 |
| Loyola University Medical Center | Chicago IL | $2,350 | 2.4× | 2 | 2026-03-31 |
| Medstar Washington Hospital Center | Washington DC | $2,447 | 2.2× | 5 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $2,485 | 2.6× | 5 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $2,507 | 2.6× | 3 | 2025-11-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $2,525 | 2.9× | 3 | 2026-07-14 |
| University of Chicago Medical Center | Chicago IL | $2,558 | 2.6× | 2 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $2,598 | 2.7× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $2,598 | 2.7× | 4 | 2026-09-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $2,678 | 2.7× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $2,678 | 2.7× | 5 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $2,781 | 2.6× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $2,788 | 2.8× | 4 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $2,850 | 3.0× | 3 | 2026-06-29 |
| TriStar StoneCrest Medical Center | Nashville TN | $2,870 | 3.2× | 5 | 2026-09-01 |
| St David's Medical Center | Austin TX | $2,960 | 3.2× | 4 | 2026-09-01 |
| Harper University Hospital | Detroit MI | $2,997 | 3.2× | 2 | 2026-09-02 |
| Medical City Plano | Dallas-Fort Worth TX | $3,016 | 3.2× | 5 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $3,016 | 3.2× | 5 | 2026-09-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $3,052 | 3.1× | 3 | 2026-06-15 |
| Menorah Medical Center | Kansas (statewide) | $3,081 | 3.5× | 4 | 2026-09-01 |
| Medina Hospital | Cleveland OH | $3,107 | 3.5× | 3 | 2026-06-15 |
| Piedmont Newnan Hospital | Atlanta GA | $3,127 | 3.4× | 6 | 2026-07-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $3,138 | 3.5× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $3,138 | 3.5× | 4 | 2026-09-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $3,284 | 3.5× | 2 | 2026-04-21 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $3,304 | 3.8× | 2 | 2026-06-15 |
| Rush University Medical Center | Chicago IL | $3,352 | 3.4× | 2 | 2026-09-25 |
| Swedish Medical Center | Seattle-Tacoma WA | $3,387 | 3.1× | 5 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $3,392 | 3.3× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $3,392 | 3.3× | 2 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $3,415 | 3.1× | 7 | 2026-08-27 |
| Thomas Jefferson University Hospital | Philadelphia PA | $3,452 | 3.6× | 4 | 2026-09-15 |
| Piedmont Atlanta Hospital | Atlanta GA | $3,453 | 3.7× | 6 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $3,453 | 3.7× | 6 | 2026-07-01 |
| Riddle Memorial Hospital | Philadelphia PA | $3,453 | 3.6× | 2 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $3,578 | 3.8× | 5 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $3,628 | 3.0× | 5 | 2026-04-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $3,632 | 3.4× | 6 | 2026-08-27 |
| Bryn Mawr Hospital | Philadelphia PA | $3,640 | 3.8× | 2 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $3,728 | 4.2× | 3 | 2026-06-15 |
| Emory University Hospital | Atlanta GA | $3,774 | 4.0× | 6 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $4,167 | 3.5× | 1 | 2025-11-26 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $4,221 | 5.2× | 3 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $4,380 | 5.0× | 1 | 2026-06-16 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $4,719 | 5.2× | 1 | 2026-03-06 |
| Legacy Emanuel Medical Center | Portland OR | $4,911 | 4.8× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $4,911 | 4.8× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $4,911 | 4.8× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $4,911 | 4.8× | 5 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $5,294 | 4.6× | 4 | 2026-06-10 |
| Los Robles Hospital & Medical Center | California (statewide) | $5,626 | 4.7× | 5 | 2026-09-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $6,021 | 5.8× | 3 | 2026-09-15 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $6,487 | 5.6× | 7 | 2026-01-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $8,155 | 7.8× | 1 | 2026-03-24 |
| Stanford Health Care | San Francisco Bay Area CA | $8,345 | 6.1× | 1 | 2026-04-01 |
Questions
How much do commercial insurers pay hospitals for screening colonoscopy (medicare)?
Across 85 hospitals in 30 metro areas that post a usable dollar rate, the median commercial rate for CPT G0121, hospital outpatient is $2,788, 2.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $1,712 to $3,452. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for screening colonoscopy (medicare)?
Medicare's national hospital outpatient rate for CPT G0121 is $950 and its surgery-center rate is $510, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for screening colonoscopy (medicare)?
Lowest medians: Trinity Health Oakland Hospital ($818), Mclaren Port Huron ($893), Morton Plant Hospital ($963). Highest: Stanford Health Care ($8,345), Inspira Medical Center Mullica Hill ($8,155), NYU Langone Hospitals (Orthopedic Hospital + Tisch files) ($6,487). Coverage is limited to the markets listed on this page.