Colonoscopy, diagnostic at UPMC Somerset. CPT 45378.
What UPMC Somerset publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$443cash price (self-pay)
$1,479list price
$199–$2,937range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $199 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $207 |
| Highmark Wholecare (prev Gateway) | Medicaid | $232 |
| Geisinger | Medicaid | $251 |
| United Healthcare Community Plan for Families | PA Medicaid | $509 |
| Geisinger | Commercial | $582 |
| Aetna of PA | TPA/Carrier | $591 |
| Highmark BCBS of PA | Medicare Advantage | $722 |
| UPMC Work Partners | Workers Comp | $729 |
| Multiplan | PPO (Includes PHCS as a Payer) | $739 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $861 |
| AmeriHealth Caritas | Medicare | $869 |
| United Healthcare | Medicare | $869 |
| UPMC Health Plan | Managed Medicare | $869 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $887 |
| Highmark Wholecare (prev Gateway) | Medicare | $939 |
| Galaxy Health Plan | Commercial | $961 |
| Humana | Commercial | $1,109 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Ca | $1,289 |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,632 |
| UPMC Health Plan | CHIP | $2,316 |
| UPMC Health Plan | Commercial | $2,937 |
Inpatient
$443cash price (self-pay)
$1,479list price
$480–$1,664range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Galaxy Health Plan | Commercial | $961 |
| Multiplan | PPO (Includes PHCS as a Payer) | $961 |
| Humana | Commercial | $1,109 |
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