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Screening colonoscopy (Medicare) in Pennsylvania: what insurers pay

Posted commercial rates at 57 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT G0121

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Horizon Greenville$8951.0×32026-03-06
Wayne Memorial Hospital Honesdale$9991.1×12026-09-16
Upmc Somerset Somerset$1,1741.3×22026-03-06
Upmc Mckeesport Mc Keesport$1,2131.3×22026-03-06
Upmc Mercy Pittsburgh$1,2641.4×32026-03-06
Upmc Hamot Erie$1,2841.4×42026-03-06
Upmc Northwest Seneca$1,3441.5×22026-03-06
Upmc Bedford Memorial Everett$1,4081.6×22026-03-06
Upmc East Monroeville$1,5041.7×22026-03-06
Upmc Washington Washington$1,5541.7×42026-03-06
Upmc Kane Kane$1,5941.8×22026-03-06
Upmc Altoona Altoona$1,6401.8×12026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$1,6451.7×72026-04-08
Upmc Cole Coudersport$1,6591.8×12026-03-06
Uniontown Hospital Uniontown$1,7241.9×42026-07-09
Conemaugh Memorial Medical Center Johnstown$1,7661.9×12026-04-15
Roxborough Memorial Hospital Philadelphia$1,8231.9×62024-06-21
Canonsburg General Hospital Canonsburg$1,8562.0×62026-04-14
Holy Redeemer Hospital And Medical Center Meadowbrook$2,0162.2×62026-09-21
St Clair Hospital Pittsburgh$2,0792.3×72026-03-31
St Mary Medical Center Langhorne$2,2132.4×202026-03-31
Magee Womens Hospital Of Upmc Health System Pittsburgh$2,2952.5×22026-03-06
Upmc St Margaret Pittsburgh$2,4002.6×22026-03-06
Nazareth Hospital Philadelphia$2,4172.5×192026-03-31
Upmc Carlisle Carlisle$2,4532.6×32026-03-06
Wilkes-Barre General Hospital Wilkes-Barre$2,4672.7×12026-07-01
Jefferson Einstein Montgomery Hospital East Norriton$2,5902.9×62026-09-15
Upmc Passavant Pittsburgh$2,6002.9×22026-03-07
Jefferson Lansdale Hospital Lansdale$2,6703.0×62026-09-15
Jefferson Abington Hospital Abington$2,6703.0×62026-09-15
Upmc Lititz Lititz$2,6713.0×32026-03-06
Geisinger Community Medical Center Scranton$2,7083.0×32026-07-01
Hospital Of The Fox Chase Cancer Center Philadelphia$2,7342.9×72026-04-08
Geisinger St. Luke'S Hospital Orwigsburg$2,7563.0×22026-02-26
Temple University Hospital Philadelphia$2,8603.0×92026-04-13
St Luke'S Hospital - Monroe Campus Stroudsburg$2,8873.2×32026-02-27
St Luke'S Hospital - Carbon Campus Lehighton$2,8873.0×32026-02-27
Upmc Memorial York$2,9663.3×52026-03-06
St Luke'S Hospital Bethlehem Bethlehem$3,0013.2×32026-02-26
Upmc Hanover Hanover$3,0983.4×32026-03-06
Penn State Health Hampden Medical Center Enola$3,1083.3×12026-03-27
St Luke'S Hospital - Upper Bucks Campus Quakertown$3,1263.5×22026-02-26
Penn State Health Holy Spirit Medical Center Camp Hill$3,1423.4×12026-03-27
Jefferson Health-Northeast Philadelphia$3,1703.3×62026-09-15
Penn State Health Lancaster Medical Center Lancaster$3,1903.5×12026-03-27
St Luke'S Miners Memorial Hospital Coaldale$3,4113.8×22026-02-27
Riddle Memorial Hospital Media$3,4533.6×22026-04-01
Geisinger-Lewistown Hospital Lewistown$3,4823.8×22026-07-01
St Luke'S Hospital - Easton Campus Easton$3,5083.7×22026-02-26
Paoli Hospital Paoli$3,5984.0×22026-04-01
Thomas Jefferson University Hospital Philadelphia$3,6303.8×52026-09-15
Upmc Presbyterian Shadyside Pittsburgh$3,6304.0×22026-03-06
Bryn Mawr Hospital Bryn Mawr$3,6403.8×22026-04-01
Lankenau Medical Center Wynnewood$3,6804.1×22026-04-01
Penn State Health St. Joseph Reading$4,1124.3×12026-03-27
Robert Packer Hospital Sayre$5,2585.8×92026-03-31
Troy Community Hospital Troy$5,2585.8×22026-03-31

CPT G0105

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Horizon Greenville$8951.0×32026-03-06
Wayne Memorial Hospital Honesdale$9991.1×12026-09-16
Upmc Somerset Somerset$1,1741.3×22026-03-06
Upmc Hamot Erie$1,2841.4×42026-03-06
Upmc Mckeesport Mc Keesport$1,4161.6×22026-03-06
Upmc Mercy Pittsburgh$1,4801.6×32026-03-06
Upmc Washington Washington$1,5541.7×42026-03-06
Upmc Northwest Seneca$1,5821.8×22026-03-06
Upmc Kane Kane$1,6161.8×22026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$1,6451.7×72026-04-08
Upmc Cole Coudersport$1,6571.8×12026-03-06
Upmc Bedford Memorial Everett$1,6641.8×22026-03-06
Upmc Altoona Altoona$1,6721.9×12026-03-06
Uniontown Hospital Uniontown$1,7241.9×42026-07-09
Upmc East Monroeville$1,7862.0×22026-03-06
Conemaugh Memorial Medical Center Johnstown$1,8142.0×12026-04-15
Roxborough Memorial Hospital Philadelphia$1,8231.9×62024-06-21
Canonsburg General Hospital Canonsburg$1,8562.0×62026-04-14
Holy Redeemer Hospital And Medical Center Meadowbrook$2,0162.2×62026-09-21
St Clair Hospital Pittsburgh$2,0792.3×72026-03-31
St Mary Medical Center Langhorne$2,2132.4×202026-03-31
Nazareth Hospital Philadelphia$2,4172.5×192026-03-31
Upmc Carlisle Carlisle$2,4532.6×32026-03-06
Wilkes-Barre General Hospital Wilkes-Barre$2,4672.7×12026-07-01
Jefferson Einstein Montgomery Hospital East Norriton$2,5902.9×62026-09-15
Magee Womens Hospital Of Upmc Health System Pittsburgh$2,6432.9×22026-03-06
Jefferson Lansdale Hospital Lansdale$2,6703.0×62026-09-15
Jefferson Abington Hospital Abington$2,6703.0×62026-09-15
Upmc Lititz Lititz$2,6713.0×32026-03-06
Geisinger Community Medical Center Scranton$2,7083.0×32026-07-01
Upmc St Margaret Pittsburgh$2,7173.0×22026-03-06
Hospital Of The Fox Chase Cancer Center Philadelphia$2,7342.9×72026-04-08
Geisinger St. Luke'S Hospital Orwigsburg$2,7563.0×22026-02-26
Temple University Hospital Philadelphia$2,8343.0×102026-04-13
St Luke'S Hospital - Monroe Campus Stroudsburg$2,8873.2×32026-02-27
St Luke'S Hospital - Carbon Campus Lehighton$2,8873.0×32026-02-27
Upmc Passavant Pittsburgh$2,9133.2×22026-03-07
Upmc Memorial York$2,9663.3×52026-03-06
St Luke'S Hospital Bethlehem Bethlehem$3,0013.2×32026-02-26
Upmc Hanover Hanover$3,0983.4×32026-03-06
Penn State Health Hampden Medical Center Enola$3,1083.3×12026-03-27
St Luke'S Hospital - Upper Bucks Campus Quakertown$3,1263.5×22026-02-26
Penn State Health Holy Spirit Medical Center Camp Hill$3,1423.4×12026-03-27
Jefferson Health-Northeast Philadelphia$3,1703.3×62026-09-15
Penn State Health Lancaster Medical Center Lancaster$3,1903.5×12026-03-27
Troy Community Hospital Troy$3,2103.5×22026-03-31
St Luke'S Miners Memorial Hospital Coaldale$3,4113.8×22026-02-27
Riddle Memorial Hospital Media$3,4533.6×22026-04-01
Geisinger-Lewistown Hospital Lewistown$3,4823.8×22026-07-01
St Luke'S Hospital - Easton Campus Easton$3,5083.7×22026-02-26
Paoli Hospital Paoli$3,5984.0×22026-04-01
Thomas Jefferson University Hospital Philadelphia$3,6303.8×52026-09-15
Bryn Mawr Hospital Bryn Mawr$3,6403.8×22026-04-01
Lankenau Medical Center Wynnewood$3,6804.1×22026-04-01
Penn State Health St. Joseph Reading$4,1124.3×12026-03-27
Upmc Presbyterian Shadyside Pittsburgh$4,1724.6×22026-03-06
Robert Packer Hospital Sayre$5,2585.8×92026-03-31

Questions

How much do insurers pay for screening colonoscopy (medicare) in Pennsylvania?

57 Pennsylvania hospitals post usable commercial rates for screening colonoscopy (medicare) in their federal price-transparency files. For CPT G0121, hospital outpatient, the median across 57 hospitals is $2,670, 2.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.