Colonoscopy, diagnostic at UPMC Presbyterian. CPT 45378.
What UPMC Presbyterian 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–$5,023range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $199 |
| Aetna | CHIP/Medicaid | $235 |
| Highmark Wholecare (prev Gateway) | Medicaid | $268 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $272 |
| Geisinger | Medicaid/CHIP | $281 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $286 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $308 |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $532 |
| Highmark BCBS of PA | Medicare Advantage | $737 |
| Aetna | Medicare | $791 |
| UPMC Work Partners | Workers Comp | $797 |
| UPMC Health Plan | Commercial | $881 |
| Multiplan | Worker's Compensation | $927 |
| AmeriHealth Caritas | Medicare | $939 |
| Cigna Lifesource | Medicare Transplant | $939 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $939 |
| United Healthcare | Medicare | $939 |
| Aetna of PA | Medicare | $956 |
| Highmark Wholecare (prev Gateway) | Medicare | $1,094 |
| Preferred Healthcare System | PPO | $1,625 |
| Coventry/First Health | Commercial | $1,750 |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,826 |
| InterGroup | InterGroup Services Corporation | $1,875 |
| Fidelis | Medicare | $1,875 |
| Multiplan | PPO | $2,000 |
| Private Health Care Systems | PPO | $2,000 |
| SelectCare | Commercial | $2,000 |
| Health Coalition Partners | Intergroup | $2,000 |
| Health Payors Organization | Commercial | $2,125 |
| Humana | Commercial | $2,125 |
Inpatient
$1,500cash price (self-pay)
$2,500list price
$1,625–$2,125range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Preferred Healthcare System | PPO | $1,625 |
| Coventry/First Health | Commercial | $1,750 |
| InterGroup | InterGroup Services Corporation | $1,875 |
| Fidelis | Medicare | $1,875 |
| Multiplan | PPO | $2,000 |
| Private Health Care Systems | PPO | $2,000 |
| SelectCare | Commercial | $2,000 |
| Health Coalition Partners | Intergroup | $2,000 |
| Health Payors Organization | Commercial | $2,125 |
| Humana | Commercial | $2,125 |
| InterGroup | Approved National Affiliated PPO Business | $2,125 |
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