All procedures / Diagnostic Colonoscopy / Pittsburgh, PA
Across 12 hospitals in the Pittsburgh, PA area that publish federally required price files, the median negotiated rate under commercial insurance is $799 (middle half of hospitals: $341–$1,719) and the median self-pay (cash) price is $389 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 2026-03-06 to 2026-04-14 · Medicare baseline: CMS OPPS Addendum B · Data extracted 2026-10-31 · Page updated 2026-10-31
Area covered: hospitals in Allegheny, Westmoreland, Butler, Washington and Beaver counties, Pennsylvania. 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) |
|---|---|---|---|---|---|---|---|---|---|
| Allegheny General Hospital Pittsburgh · CMS 3★ · file updated 2026-04-14 | $290 | — | — | $2900.3× Medicare | $1890.2× Medicare | — | $2030.2× Medicare | $122 | $512 |
| Forbes Hospital Monroeville · CMS 3★ · file updated 2026-04-14 | $315 | — | — | $3150.3× Medicare | $1890.2× Medicare | — | $2030.2× Medicare | $112 | $512 |
| Allegheny Valley Hospital Natrona · CMS 4★ · file updated 2026-04-14 | $340 | — | — | $3400.4× Medicare | $1890.2× Medicare | — | $2030.2× Medicare | $117 | $512 |
| West Penn Hospital Pittsburgh · CMS 3★ · file updated 2026-04-14 | $340 | — | — | $3400.4× Medicare | $1890.2× Medicare | — | $8060.8× Medicare | $138 | $512 |
| Canonsburg General Hospital Canonsburg · CMS 3★ · file updated 2026-04-14 | $340 | — | — | $3400.4× Medicare | $1890.2× Medicare | — | $2030.2× Medicare | $112 | $512 |
| Ahn Wexford Hospital Wexford · CMS 5★ · file updated 2026-04-14 | $340 | — | — | $3400.4× Medicare | $1890.2× Medicare | — | $8060.8× Medicare | $133 | $512 |
| Upmc East Monroeville · CMS 4★ · file updated 2026-03-06 | $1,256 | $1,6251.7× Medicare | — | $1,7501.8× Medicare | $8710.9× Medicare | $8370.9× Medicare | $9381.0× Medicare | $1,500 | $2,500 |
| Upmc Mercy Pittsburgh · CMS 4★ · file updated 2026-03-06 | $1,500 | $1,8752.0× Medicare | — | $1,5001.6× Medicare | $7290.8× Medicare | — | $9381.0× Medicare | $1,500 | $2,500 |
| Upmc Mckeesport Hospital Mc Keesport · CMS 3★ · file updated 2026-03-06 | $1,625 | $1,6251.7× Medicare | — | $1,7501.8× Medicare | $8050.8× Medicare | — | $9381.0× Medicare | $1,500 | $2,500 |
| Upmc St Margaret Pittsburgh · CMS 3★ · file updated 2026-03-06 | $2,000 | $2,0002.1× Medicare | — | $2,0002.1× Medicare | $7500.8× Medicare | — | $9381.0× Medicare | $1,500 | $2,500 |
| Magee Womens Hospital Of Upmc Health System Pittsburgh · CMS 4★ · file updated 2026-03-06 | $2,000 | $2,0622.2× Medicare | — | $1,9372.0× Medicare | $7750.8× Medicare | — | $9381.0× Medicare | $1,500 | $2,500 |
| St Clair Hospital Pittsburgh · CMS 4★ · file updated 2026-03-31 | $2,078 | $2,4992.6× Medicare | $2,0262.1× Medicare | $2,1732.3× Medicare | $9051.0× Medicare | — | $9351.0× Medicare | $639 | $2,577 |
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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