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Screening colonoscopy (Medicare) in Pennsylvania: what insurers pay

Posted commercial rates at 4 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT G0121

HospitalMedian across insurers× MedicareInsurersFile date
Thomas Jefferson University Hospital Philadelphia$3,4523.6×42026-09-15
Riddle Memorial Hospital Media$3,4533.6×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,6403.8×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$3,7304.1×12026-03-06

CPT G0105

HospitalMedian across insurers× MedicareInsurersFile date
Thomas Jefferson University Hospital Philadelphia$3,4523.6×42026-09-15
Riddle Memorial Hospital Media$3,4533.6×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,6403.8×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$4,7195.2×12026-03-06

Questions

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

4 Pennsylvania hospitals post usable commercial rates for screening colonoscopy (medicare) in their federal price-transparency files. For CPT G0121, hospital outpatient, the median across 4 hospitals is $3,547, 3.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.