All procedures / Diagnostic Colonoscopy / Philadelphia, PA–NJ
Across 16 hospitals in the Philadelphia, PA–NJ area that publish federally required price files, the median negotiated rate under commercial insurance is $2,750 (middle half of hospitals: $2,477–$3,207) and the median self-pay (cash) price is $997 for a diagnostic colonoscopy (CPT family 45378). The Medicare outpatient baseline for the same procedure family is $950.
Source: hospital machine-readable files (45 CFR §180), file dates 2025-12-23 to 2026-06-30 · Medicare baseline: CMS OPPS Addendum B · Data extracted 2026-10-31 · Page updated 2026-10-31
Area covered: hospitals in Philadelphia, Montgomery, Delaware, Bucks and Chester counties (PA) and Camden, Burlington and Gloucester counties (NJ). Hospitals outside these places are not in this table, even if they serve the area.
| Hospital | Insured median | PPO | HMO | Commercial | Medicare Adv. | ACA Exchange | Medicare | Cash | List (gross) |
|---|---|---|---|---|---|---|---|---|---|
| Lower Bucks Hospital Bristol · CMS 3★ · file updated 2026-03-17 | $1,021 | $1,0211.1× Medicare | — | $1,0211.1× Medicare | — | $1,0211.1× Medicare | $9141.0× Medicare | $914 | $1,021 |
| Jefferson Abington Hospital Abington · CMS 3★ · file updated 2026-03-18 | $1,729 | $1,7291.8× Medicare | $1,7291.8× Medicare | $2,4342.6× Medicare | — | — | — | — | — |
| Roxborough Memorial Hospital Philadelphia · CMS 2★ · file updated 2026-03-17 | $2,071 | $2,5232.7× Medicare | — | $2,0712.2× Medicare | — | $1,4261.5× Medicare | $9501.0× Medicare | $950 | $6,853 |
| Temple University Hospital Philadelphia · CMS 4★ · file updated 2026-04-13 | $2,335 | $1,5551.6× Medicare | — | $3,1143.3× Medicare | $1,0261.1× Medicare | — | — | — | $4,197 |
| Pottstown Hospital Pottstown · CMS 2★ · file updated 2026-06-01 | $2,524 | — | — | $2,2832.4× Medicare | — | $2,7662.9× Medicare | — | $634 | $2,537 |
| Temple Health - Chestnut Hill Hospital Philadelphia · CMS 2★ · file updated 2026-04-08 | $2,527 | $2,5272.7× Medicare | — | $2,6562.8× Medicare | $9881.0× Medicare | $1,7671.9× Medicare | $9931.0× Medicare | — | $4,197 |
| Jefferson Einstein Montgomery Hospital East Norriton · CMS 4★ · file updated 2025-12-23 | $2,567 | $2,5672.7× Medicare | $2,5672.7× Medicare | $3,6543.8× Medicare | $9741.0× Medicare | $1,3081.4× Medicare | $9471.0× Medicare | $1,043 | — |
| Jefferson Lansdale Hospital Lansdale · CMS 3★ · file updated 2026-03-18 | $2,608 | $2,9343.1× Medicare | $1,8451.9× Medicare | $2,6082.7× Medicare | — | — | — | — | — |
| Jefferson Einstein Philadelphia Hospital Philadelphia · CMS 3★ · file updated 2025-12-23 | $2,892 | $2,8503.0× Medicare | $2,9343.1× Medicare | $3,7874.0× Medicare | $1,0031.1× Medicare | $1,3471.4× Medicare | $9761.0× Medicare | $1,043 | — |
| Paoli Hospital Paoli · CMS 5★ · file updated 2026-04-01 | $2,989 | $2,9893.1× Medicare | $3,6073.8× Medicare | $1,1941.3× Medicare | — | — | $1,0411.1× Medicare | — | — |
| St Luke'S Hospital - Upper Bucks Campus Quakertown · CMS 5★ · file updated 2026-02-26 | $3,001 | $3,0013.2× Medicare | $3,0013.2× Medicare | $2,2362.4× Medicare | $9421.0× Medicare | — | $9521.0× Medicare | — | — |
| Bryn Mawr Hospital Bryn Mawr · CMS 5★ · file updated 2026-04-01 | $3,073 | $3,0733.2× Medicare | $3,6073.8× Medicare | $1,2041.3× Medicare | — | — | $1,0501.1× Medicare | — | — |
| Thomas Jefferson University Hospital Philadelphia · CMS 3★ · file updated 2026-03-18 | $3,609 | $3,6303.8× Medicare | $2,3432.5× Medicare | $3,6093.8× Medicare | — | — | — | — | — |
| Jefferson Stratford Hospital Stratford · CMS 2★ · file updated 2026-03-18 | $4,330 | $3,1683.3× Medicare | — | $4,3304.6× Medicare | — | $5,6465.9× Medicare | — | — | — |
| Cooper University Hospital Camden · CMS 2★ · file updated 2025-12-31 | $4,511 | $4,7485.0× Medicare | $1,3191.4× Medicare | $4,2734.5× Medicare | $1,0261.1× Medicare | — | $9791.0× Medicare | $8,363 | $8,363 |
| Physicians Care Surgical Hospital Royersford · file updated 2026-06-30 | $18,752 | $18,75219.7× Medicare | $7,2647.6× Medicare | — | $6,7037.1× Medicare | — | $6,7037.1× Medicare | — | $5,781 |
Each figure is the median of that hospital's published rates for the procedure's code family under that plan type. "Insured median" is the median of the hospital's commercial-plan rates (PPO, HMO, EPO, POS, ACA marketplace and plans not labelled by type); the headline figure is the median of that column. Hospitals label plan types differently, so compare the Insured median column across hospitals rather than a single plan-type column. "×Medicare" compares to the CMS national outpatient rate. Blank cells mean the hospital's file discloses no dollar rate for that plan type.
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