Colonoscopy, diagnostic at UPMC Mercy. CPT 45378.
What UPMC Mercy publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$1,500cash price (self-pay)
$2,500list price
$199–$4,521range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $199 |
| United Healthcare Community Plan for Families | PA Medicaid | $208 |
| Highmark Wholecare (prev Gateway) | Medicaid | $268 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $286 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $308 |
| Private Health Care Systems | PPO | $596 |
| Aetna | Neighborhood Network | $698 |
| UPMC Health Plan | Managed Medicare | $725 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $730 |
| Aetna | Home Depot Employer Group | $761 |
| Aetna | NBR ASO/FI | $775 |
| UPMC Work Partners | Workers Comp | $797 |
| Bravo | Medicare | $875 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $892 |
| Aetna of PA | Medicare | $913 |
| AmeriHealth Caritas | Medicare | $939 |
| Highmark Wholecare (prev Gateway) | Medicare | $939 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $939 |
| Aetna | EBR FI | $950 |
| Aetna | Medicare | $956 |
| Aetna | EBR ASO | $1,000 |
| Cigna | Commercial | $1,000 |
| Cigna | New Business ASO | $1,025 |
| Coventry/First Health | Commercial | $1,100 |
| UPMC Health Plan | Commercial | $1,455 |
| InterGroup | PPO | $1,500 |
| Cigna Behavioral Health | Commercial | $1,500 |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,644 |
| American Healthcare Group | Commercial | $2,000 |
| InterGroup | Approved National Affiliated PPO Business | $2,000 |
Inpatient
$1,500cash price (self-pay)
$2,500list price
$765–$2,250range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Neighborhood Network | $765 |
| Aetna | Home Depot Employer Group | $833 |
| Aetna | NBR ASO/FI | $850 |
| Cigna | New Business ASO | $850 |
| Aetna | EBR FI | $950 |
| Aetna | EBR ASO | $1,000 |
| Cigna | Commercial | $1,000 |
| Coventry/First Health | Commercial | $1,100 |
| InterGroup | PPO | $1,500 |
| Cigna Behavioral Health | Commercial | $1,500 |
| InterGroup | Approved National Affiliated PPO Business | $2,000 |
| National Provider Network | PPO | $2,050 |
| Health Payors Organization | Commercial | $2,250 |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $2,250 |
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