Colonoscopy, diagnostic at UPMC Northwest. CPT 45378.
What UPMC Northwest 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–$2,334range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $199 |
| United Healthcare Community Plan for Families | Unison Kids | $208 |
| Aetna | Medicaid | $217 |
| Highmark Wholecare (prev Gateway) | Medicaid | $268 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $282 |
| PA Health & Wellness | PA Medicaid HMO | $308 |
| UPMC Work Partners | Workers Comp | $735 |
| UPMC Health Plan | Managed Medicare | $788 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $869 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $890 |
| Aetna | Medicare | $895 |
| United Healthcare | Unison Advantage Non Special Needs | $913 |
| Aetna of PA | Medicare | $913 |
| Highmark Wholecare (prev Gateway) | Medicare | $939 |
| AmeriHealth Caritas | Medicare | $939 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $939 |
| United Healthcare | Unison Advantage Special Needs | $956 |
| Aetna | EBR ASO | $1,000 |
| Cigna | Commercial | $1,000 |
| UPMC Health Plan | Commercial | $1,094 |
| Aetna | EBR FI | $1,500 |
| Aetna | Neighborhood Network | $1,500 |
| Aetna | Home Depot Employer Group | $1,543 |
| Aetna | NBR ASO/FI | $1,575 |
| Cigna | New Business ASO | $1,575 |
| InterGroup | PPO | $1,713 |
| Coventry/First Health | Commercial | $1,750 |
| Health Coalition Partners | PPO | $1,800 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Ca | $1,894 |
| Private Health Care Systems | PPO | $2,000 |
Inpatient
$1,500cash price (self-pay)
$2,500list price
$1,000–$3,704range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | EBR ASO | $1,000 |
| Cigna | Commercial | $1,000 |
| Aetna | EBR FI | $1,450 |
| Aetna | Neighborhood Network | $1,550 |
| Aetna | Home Depot Employer Group | $1,593 |
| Aetna | NBR ASO/FI | $1,625 |
| Cigna | New Business ASO | $1,625 |
| Coventry/First Health | Commercial | $1,750 |
| Private Health Care Systems | PPO | $2,000 |
| Humana | Commercial | $2,125 |
| InterGroup | PPO | $2,665 |
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