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: Screening Colonoscopy (Medicare)
1253 hospitals in 80 markets. National Medicare rate $950, surgery center $510.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 17 | $1,004 | $1,461 | $1,759 | $494–$2,574 |
| Alaska (statewide) | 6 | $731 | $1,101 | $1,359 | $670–$4,285 |
| Arizona (statewide) | 12 | $1,610 | $2,474 | $3,352 | $591–$5,282 |
| Arkansas (statewide) | 7 | $818 | $872 | $1,188 | $686–$1,344 |
| Atlanta GA | 10 | $3,127 | $3,437 | $3,774 | $2,795–$3,774 |
| Austin TX | 7 | $2,045 | $2,135 | $2,232 | $1,830–$2,842 |
| Boston MA | 15 | $1,160 | $1,596 | $1,702 | $798–$2,115 |
| California (statewide) | 63 | $1,666 | $2,690 | $3,450 | $711–$6,127 |
| Charlotte NC | 5 | $1,084 | $1,084 | $1,084 | $1,069–$1,084 |
| Chicago IL | 9 | $1,300 | $2,558 | $3,342 | $1,111–$3,558 |
| Cleveland OH | 11 | $2,094 | $2,545 | $2,593 | $1,808–$2,724 |
| Colorado (statewide) | 17 | $1,336 | $2,238 | $2,806 | $916–$5,503 |
| Columbus OH | 1 | — | — | — | $3,345–$3,345 |
| Connecticut (statewide) | 3 | — | — | — | $1,194–$3,875 |
| Dallas-Fort Worth TX | 12 | $2,177 | $2,202 | $2,374 | $1,920–$3,650 |
| Denver CO | 15 | $1,786 | $2,368 | $2,958 | $1,336–$4,283 |
| Detroit MI | 14 | $630 | $946 | $1,332 | $506–$2,997 |
| Florida (statewide) | 61 | $1,952 | $2,556 | $2,821 | $673–$4,588 |
| Georgia (statewide) | 42 | $2,011 | $2,610 | $3,424 | $450–$4,221 |
| Hawaii (statewide) | 6 | $2,153 | $2,930 | $3,100 | $1,135–$3,483 |
| Houston TX | 15 | $2,128 | $2,128 | $3,166 | $1,775–$3,695 |
| Idaho (statewide) | 17 | $1,185 | $1,574 | $1,930 | $634–$2,769 |
| Illinois (statewide) | 29 | $1,423 | $1,825 | $2,448 | $507–$4,629 |
| Indiana (statewide) | 33 | $1,941 | $2,758 | $3,331 | $912–$5,496 |
| Indianapolis IN | 2 | — | — | — | $554–$3,868 |
| Iowa (statewide) | 35 | $950 | $1,285 | $1,596 | $460–$2,922 |
| Kansas (statewide) | 41 | $997 | $1,245 | $1,583 | $433–$3,081 |
| Kentucky (statewide) | 15 | $1,214 | $1,798 | $2,412 | $964–$3,081 |
| Las Vegas NV | 1 | — | — | — | $3,010–$3,010 |
| Los Angeles CA | 17 | $2,065 | $2,109 | $2,446 | $1,667–$4,167 |
| Louisiana (statewide) | 21 | $985 | $1,121 | $1,204 | $566–$3,728 |
| Maine (statewide) | 17 | $3,736 | $4,194 | $4,337 | $718–$5,453 |
| Maryland (statewide) | 1 | — | — | — | $564–$564 |
| Massachusetts (statewide) | 5 | $1,450 | $1,523 | $1,773 | $852–$1,795 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $2,377–$2,377 |
| Michigan (statewide) | 29 | $907 | $973 | $1,140 | $486–$1,535 |
| Minneapolis-St. Paul MN | 10 | $1,717 | $1,995 | $2,028 | $1,397–$2,077 |
| Minnesota (statewide) | 29 | $2,028 | $2,286 | $2,628 | $969–$3,429 |
| Mississippi (statewide) | 24 | $1,033 | $1,320 | $1,614 | $612–$2,931 |
| Missouri (statewide) | 22 | $593 | $1,808 | $2,352 | $520–$6,897 |
| Montana (statewide) | 8 | $1,666 | $2,010 | $2,673 | $528–$4,764 |
| Nashville TN | 8 | $1,778 | $2,070 | $2,172 | $1,142–$2,212 |
| Nebraska (statewide) | 12 | $1,060 | $1,494 | $1,882 | $758–$3,868 |
| Nevada (statewide) | 2 | — | — | — | $1,846–$2,424 |
| New Hampshire (statewide) | 8 | $3,056 | $3,522 | $4,165 | $2,259–$4,178 |
| New Jersey (statewide) | 23 | $1,704 | $2,745 | $3,603 | $996–$8,155 |
| New Mexico (statewide) | 10 | $1,596 | $2,234 | $3,633 | $656–$4,396 |
| New York (statewide) | 37 | $1,263 | $1,964 | $2,854 | $742–$5,294 |
| New York City | 7 | $1,256 | $1,262 | $2,558 | $1,161–$5,294 |
| North Carolina (statewide) | 11 | $1,143 | $1,686 | $2,324 | $854–$3,354 |
| North Dakota (statewide) | 5 | $1,836 | $2,088 | $2,286 | $1,614–$2,286 |
| Ohio (statewide) | 45 | $1,888 | $2,490 | $3,133 | $448–$4,671 |
| Oklahoma (statewide) | 11 | $1,465 | $1,826 | $2,092 | $837–$3,598 |
| Oregon (statewide) | 11 | $1,948 | $2,335 | $3,054 | $933–$4,218 |
| Pennsylvania (statewide) | 41 | $1,659 | $2,467 | $3,098 | $895–$5,258 |
| Philadelphia PA | 11 | $3,015 | $3,598 | $3,660 | $2,590–$8,155 |
| Phoenix AZ | 6 | $2,678 | $2,678 | $2,760 | $2,678–$2,788 |
| Pittsburgh PA | 7 | $1,529 | $2,295 | $2,500 | $1,264–$3,630 |
| Portland OR | 9 | $3,688 | $4,454 | $4,454 | $3,688–$4,911 |
| Rhode Island (statewide) | 6 | $1,265 | $1,545 | $2,058 | $884–$2,651 |
| Richmond VA | 3 | — | — | — | $2,772–$3,138 |
| Rio Grande Valley TX | 4 | — | — | — | $1,254–$2,650 |
| Salt Lake City UT | 9 | $850 | $878 | $878 | $832–$878 |
| San Antonio TX | 3 | — | — | — | $1,456–$2,016 |
| San Diego CA | 2 | — | — | — | $2,060–$2,206 |
| San Francisco Bay Area CA | 4 | — | — | — | $2,456–$8,345 |
| Seattle-Tacoma WA | 11 | $2,412 | $2,810 | $3,262 | $2,225–$3,415 |
| South Carolina (statewide) | 25 | $1,942 | $2,887 | $3,387 | $1,014–$5,435 |
| South Dakota (statewide) | 4 | — | — | — | $1,136–$4,007 |
| Tampa FL | 6 | $963 | $963 | $1,537 | $963–$4,017 |
| Tennessee (statewide) | 28 | $1,420 | $1,446 | $1,889 | $700–$2,272 |
| Texas (statewide) | 68 | $1,531 | $2,092 | $2,380 | $546–$5,496 |
| Utah (statewide) | 9 | $796 | $832 | $878 | $479–$3,166 |
| Vermont (statewide) | 2 | — | — | — | $491–$512 |
| Virginia (statewide) | 26 | $2,938 | $3,386 | $3,624 | $1,865–$4,794 |
| Washington (statewide) | 13 | $1,295 | $1,848 | $2,456 | $640–$4,469 |
| Washington DC | 9 | $2,417 | $2,455 | $2,485 | $2,229–$2,747 |
| West Virginia (statewide) | 10 | $1,411 | $1,560 | $3,033 | $1,012–$6,191 |
| Wisconsin (statewide) | 41 | $2,182 | $2,225 | $3,609 | $467–$5,220 |
| Wyoming (statewide) | 1 | — | — | — | $880–$880 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Clay County Medical Center | Kansas (statewide) | $433 | 0.5× | 1 | 2026-07-22 |
| Nemaha Valley Community Hospital | Kansas (statewide) | $438 | 0.5× | 1 | 2026-09-16 |
| Amberwell Atchison Association | Kansas (statewide) | $438 | 0.5× | 1 | 2026-08-18 |
| Selby General Hospital | Ohio (statewide) | $448 | 0.5× | 1 | 2026-10-01 |
| Memorial Hospital And Manor | Georgia (statewide) | $450 | 0.6× | 1 | 2026-05-01 |
| Amberwell Hiawatha | Kansas (statewide) | $459 | 0.5× | 2 | 2026-08-18 |
| Iowa Specialty Hospital - Belmond | Iowa (statewide) | $460 | 0.5× | 1 | 2026-04-22 |
| Iowa Specialty Hospital - Clarion | Iowa (statewide) | $460 | 0.5× | 1 | 2026-06-11 |
| Ascension Calumet Hospital | Wisconsin (statewide) | $467 | 0.5× | 2 | 2026-01-01 |
| Decatur County Hospital | Iowa (statewide) | $469 | 0.5× | 1 | 2026-03-04 |
| San Juan Hospital | Utah (statewide) | $479 | 0.5× | 2 | 2026-04-13 |
| Holland Hospital | Michigan (statewide) | $486 | 0.5× | 6 | 2026-09-21 |
| Parkview Regional Medical Center | Indiana (statewide) | $5,496 | 5.6× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $5,496 | 5.9× | 1 | 2026-09-01 |
| Parkview Medical Center, Inc | Colorado (statewide) | $5,503 | 5.6× | 4 | 2025-11-01 |
| 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 |
| Providence Queen Of The Valley Medical Center | California (statewide) | $6,127 | 5.1× | 5 | 2026-04-01 |
| Providence Redwood Memorial Hospital | California (statewide) | $6,127 | 5.1× | 3 | 2026-04-01 |
| Logan Regional Medical Center | West Virginia (statewide) | $6,191 | 6.9× | 1 | 2026-04-01 |
| Boone Hospital Center | Missouri (statewide) | $6,897 | 7.4× | 1 | 2026-04-01 |
| Inspira Medical Center Vineland | New Jersey (statewide) | $8,155 | 7.8× | 1 | 2026-03-24 |
| 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 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT G0105: Screening Colonoscopy (Medicare)
1263 hospitals in 80 markets. National Medicare rate $950, surgery center $510.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 18 | $1,070 | $1,536 | $1,750 | $494–$2,574 |
| Alaska (statewide) | 6 | $729 | $1,100 | $1,358 | $668–$4,285 |
| Arizona (statewide) | 11 | $1,433 | $2,159 | $3,040 | $591–$5,282 |
| Arkansas (statewide) | 7 | $818 | $872 | $1,294 | $686–$1,344 |
| Atlanta GA | 10 | $3,441 | $3,453 | $3,774 | $3,127–$3,774 |
| Austin TX | 7 | $2,045 | $2,135 | $2,232 | $1,830–$2,842 |
| Boston MA | 15 | $1,160 | $1,596 | $1,702 | $820–$2,115 |
| California (statewide) | 65 | $1,666 | $2,690 | $3,450 | $1,143–$6,127 |
| Charlotte NC | 5 | $1,084 | $1,084 | $1,084 | $1,069–$1,084 |
| Chicago IL | 10 | $1,513 | $2,454 | $3,326 | $1,107–$3,558 |
| Cleveland OH | 11 | $2,094 | $2,545 | $2,593 | $1,808–$2,724 |
| Colorado (statewide) | 17 | $1,375 | $2,238 | $2,806 | $916–$4,283 |
| Columbus OH | 1 | — | — | — | $3,345–$3,345 |
| Connecticut (statewide) | 3 | — | — | — | $1,194–$3,875 |
| Dallas-Fort Worth TX | 14 | $2,200 | $2,202 | $2,356 | $1,920–$3,650 |
| Denver CO | 15 | $1,786 | $2,368 | $2,958 | $1,336–$4,283 |
| Detroit MI | 14 | $630 | $946 | $1,208 | $506–$2,997 |
| Florida (statewide) | 62 | $1,774 | $2,538 | $2,821 | $549–$4,588 |
| Georgia (statewide) | 42 | $2,011 | $2,909 | $3,437 | $450–$4,221 |
| Hawaii (statewide) | 6 | $2,930 | $3,043 | $3,401 | $1,894–$3,788 |
| Houston TX | 15 | $2,128 | $2,128 | $3,166 | $1,775–$3,695 |
| Idaho (statewide) | 16 | $974 | $1,262 | $2,105 | $801–$2,769 |
| Illinois (statewide) | 34 | $1,297 | $1,820 | $2,222 | $507–$3,811 |
| Indiana (statewide) | 33 | $1,941 | $2,758 | $3,474 | $912–$5,496 |
| Indianapolis IN | 2 | — | — | — | $554–$3,868 |
| Iowa (statewide) | 35 | $950 | $1,156 | $1,700 | $460–$2,922 |
| Kansas (statewide) | 42 | $967 | $1,196 | $1,490 | $433–$3,081 |
| Kentucky (statewide) | 15 | $1,486 | $1,955 | $2,500 | $964–$3,694 |
| Las Vegas NV | 1 | — | — | — | $3,010–$3,010 |
| Los Angeles CA | 17 | $2,065 | $2,109 | $2,446 | $1,667–$4,167 |
| Louisiana (statewide) | 20 | $952 | $1,030 | $1,202 | $566–$3,728 |
| Maine (statewide) | 17 | $3,736 | $4,194 | $4,337 | $718–$5,453 |
| Maryland (statewide) | 1 | — | — | — | $2,574–$2,574 |
| Massachusetts (statewide) | 7 | $936 | $1,450 | $1,648 | $852–$1,795 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $2,377–$2,377 |
| Michigan (statewide) | 29 | $907 | $973 | $1,140 | $485–$1,557 |
| Minneapolis-St. Paul MN | 10 | $1,725 | $1,995 | $2,028 | $1,397–$2,077 |
| Minnesota (statewide) | 29 | $2,028 | $2,286 | $2,667 | $966–$3,429 |
| Mississippi (statewide) | 23 | $1,058 | $1,341 | $1,622 | $612–$3,524 |
| Missouri (statewide) | 21 | $601 | $1,854 | $2,360 | $567–$6,897 |
| Montana (statewide) | 8 | $1,666 | $2,010 | $2,673 | $528–$4,764 |
| Nashville TN | 8 | $1,883 | $2,146 | $2,418 | $1,535–$2,462 |
| Nebraska (statewide) | 13 | $937 | $1,074 | $1,781 | $758–$3,868 |
| Nevada (statewide) | 2 | — | — | — | $1,846–$2,424 |
| New Hampshire (statewide) | 6 | $2,842 | $3,432 | $4,067 | $2,259–$4,178 |
| New Jersey (statewide) | 23 | $1,766 | $2,720 | $3,603 | $996–$8,155 |
| New Mexico (statewide) | 10 | $1,596 | $2,214 | $3,628 | $655–$4,396 |
| New York (statewide) | 35 | $1,261 | $1,978 | $2,840 | $741–$5,294 |
| New York City | 7 | $1,256 | $1,262 | $2,558 | $1,161–$5,294 |
| North Carolina (statewide) | 11 | $1,142 | $1,686 | $2,324 | $838–$3,354 |
| North Dakota (statewide) | 5 | $1,836 | $2,088 | $2,286 | $1,614–$2,286 |
| Ohio (statewide) | 45 | $1,831 | $2,490 | $3,133 | $447–$4,671 |
| Oklahoma (statewide) | 12 | $1,618 | $1,894 | $2,153 | $888–$3,839 |
| Oregon (statewide) | 11 | $1,948 | $2,335 | $3,054 | $1,044–$4,218 |
| Pennsylvania (statewide) | 41 | $1,672 | $2,467 | $3,098 | $895–$5,258 |
| Philadelphia PA | 11 | $3,002 | $3,598 | $3,660 | $2,590–$8,155 |
| Phoenix AZ | 6 | $2,678 | $2,678 | $2,760 | $2,678–$2,788 |
| Pittsburgh PA | 7 | $1,670 | $2,643 | $2,815 | $1,480–$4,172 |
| Portland OR | 9 | $3,688 | $4,454 | $4,454 | $3,688–$4,911 |
| Rhode Island (statewide) | 6 | $1,265 | $1,545 | $2,058 | $884–$2,651 |
| Richmond VA | 3 | — | — | — | $2,772–$3,138 |
| Rio Grande Valley TX | 5 | $1,254 | $1,290 | $2,527 | $1,208–$2,650 |
| Salt Lake City UT | 9 | $850 | $877 | $877 | $832–$877 |
| San Antonio TX | 3 | — | — | — | $1,456–$2,016 |
| San Diego CA | 2 | — | — | — | $2,060–$2,206 |
| San Francisco Bay Area CA | 4 | — | — | — | $2,456–$8,345 |
| Seattle-Tacoma WA | 11 | $2,412 | $2,810 | $3,262 | $2,225–$3,415 |
| South Carolina (statewide) | 25 | $1,809 | $2,818 | $3,387 | $749–$5,435 |
| South Dakota (statewide) | 4 | — | — | — | $1,136–$4,007 |
| Tampa FL | 6 | $963 | $963 | $1,537 | $963–$4,017 |
| Tennessee (statewide) | 27 | $1,420 | $1,532 | $1,958 | $998–$2,500 |
| Texas (statewide) | 68 | $1,730 | $2,168 | $2,380 | $710–$5,496 |
| Utah (statewide) | 9 | $795 | $832 | $877 | $481–$3,166 |
| Vermont (statewide) | 2 | — | — | — | $491–$512 |
| Virginia (statewide) | 26 | $2,896 | $3,386 | $3,624 | $1,865–$4,794 |
| Washington (statewide) | 13 | $1,350 | $1,848 | $2,456 | $972–$4,469 |
| Washington DC | 9 | $2,417 | $2,455 | $2,485 | $2,229–$2,747 |
| West Virginia (statewide) | 10 | $1,411 | $1,560 | $3,033 | $1,012–$6,191 |
| Wisconsin (statewide) | 43 | $2,182 | $2,225 | $3,506 | $467–$5,220 |
| Wyoming (statewide) | 1 | — | — | — | $732–$732 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Clay County Medical Center | Kansas (statewide) | $433 | 0.5× | 1 | 2026-07-22 |
| Nemaha Valley Community Hospital | Kansas (statewide) | $438 | 0.5× | 1 | 2026-09-16 |
| Amberwell Atchison Association | Kansas (statewide) | $438 | 0.5× | 1 | 2026-08-18 |
| Selby General Hospital | Ohio (statewide) | $447 | 0.5× | 1 | 2026-10-01 |
| Memorial Hospital And Manor | Georgia (statewide) | $450 | 0.6× | 1 | 2026-05-01 |
| Amberwell Hiawatha | Kansas (statewide) | $459 | 0.5× | 2 | 2026-08-18 |
| Iowa Specialty Hospital - Belmond | Iowa (statewide) | $460 | 0.5× | 1 | 2026-04-22 |
| Iowa Specialty Hospital - Clarion | Iowa (statewide) | $460 | 0.5× | 1 | 2026-06-11 |
| Ascension Calumet Hospital | Wisconsin (statewide) | $467 | 0.5× | 2 | 2026-01-01 |
| San Juan Hospital | Utah (statewide) | $481 | 0.5× | 5 | 2026-04-13 |
| Holland Hospital | Michigan (statewide) | $485 | 0.5× | 6 | 2026-09-21 |
| Northeastern Vermont Regional Hospital | Vermont (statewide) | $491 | 0.5× | 1 | 2026-08-27 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $5,453 | 6.0× | 1 | 2025-09-09 |
| Parkview Regional Medical Center | Indiana (statewide) | $5,496 | 5.6× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $5,496 | 5.9× | 1 | 2026-09-01 |
| 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 |
| Providence Queen Of The Valley Medical Center | California (statewide) | $6,127 | 5.1× | 5 | 2026-04-01 |
| Providence Redwood Memorial Hospital | California (statewide) | $6,127 | 5.1× | 3 | 2026-04-01 |
| Logan Regional Medical Center | West Virginia (statewide) | $6,191 | 6.9× | 1 | 2026-04-01 |
| Boone Hospital Center | Missouri (statewide) | $6,897 | 7.4× | 1 | 2026-04-01 |
| Inspira Medical Center Vineland | New Jersey (statewide) | $8,155 | 7.8× | 1 | 2026-03-24 |
| 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 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for screening colonoscopy (medicare)?
Across 1253 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT G0121, hospital outpatient is $2,115, 2.2× the same hospital's local Medicare base rate. The middle half of hospitals runs $1,289 to $2,887. 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: Clay County Medical Center ($433), Nemaha Valley Community Hospital ($438), Amberwell Atchison Association ($438). Highest: Stanford Health Care ($8,345), Inspira Medical Center Mullica Hill ($8,155), Inspira Medical Center Vineland ($8,155). Coverage: every hospital whose price file we could read.