Colonoscopy, diagnostic at UPMC St. Margaret. CPT 45378.
What UPMC St. Margaret 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–$4,394range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $199 |
| UPMC Health Plan | Managed Medicaid | $199 |
| Highmark Wholecare (prev Gateway) | Medicaid | $268 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $282 |
| PA Health & Wellness | PA Medicaid HMO | $308 |
| Aetna | Neighborhood Network | $630 |
| Aetna | Home Depot Employer Group | $685 |
| Aetna | NBR ASO/FI | $700 |
| Cigna | New Business ASO | $700 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $737 |
| UPMC Health Plan | Managed Medicare | $750 |
| UPMC Work Partners | Workers Comp | $781 |
| Aetna of PA | Medicare | $913 |
| 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 |
| UPMC Health Plan | Commercial | $1,039 |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,640 |
| Coventry/First Health | Commercial | $1,750 |
| Private Health Care Systems | PPO | $2,000 |
| SelectCare | Commercial | $2,000 |
| Humana | Commercial | $2,125 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,132 |
| Highmark BCBS of PA | Managed Care | $2,197 |
| Highmark BCBS of PA | Commercial - Indemnity | $2,856 |
| Highmark BCBS of PA | UPMC Emergent | $4,394 |
Inpatient
$1,500cash price (self-pay)
$2,500list price
$653–$2,125range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Neighborhood Network | $653 |
| Aetna | Home Depot Employer Group | $710 |
| Aetna | NBR ASO/FI | $725 |
| Cigna | New Business ASO | $725 |
| Aetna | EBR FI | $950 |
| Aetna | EBR ASO | $1,000 |
| Cigna | Commercial | $1,000 |
| Coventry/First Health | Commercial | $1,750 |
| Private Health Care Systems | PPO | $2,000 |
| SelectCare | Commercial | $2,000 |
| Humana | Commercial | $2,125 |
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