Colonoscopy, diagnosticCPT 45378GI

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 11.8× price range across 116 Colorado hospitals. Open in the explorer → — filter by insurer or region, map it, or compare hospitals side by side.

How to read “% of Medicare” Medicare’s payment is a hospital-specific benchmark built from CMS files — adjusted for local wages and case complexity, and roughly pegged to the cost of care. A commercial rate at 300% means a private plan pays about triple that benchmark for the same care at the same hospital. The gap is negotiation, not quality. Full methodology →
Median commercial negotiated rate Medicare benchmark
$580
$1,114
$1,234
$1,265
$1,272
$1,497
$1,535
$1,830
$1,835
$1,841
$1,914
$2,090
$2,259
$2,259
$2,426
$2,797
$2,821
$3,108
$3,108
$3,400
$3,703
$4,764
$5,507
$6,733

The part you don’t feel

Vassar Brothers Medical Center $6,829vsO'Connor Hospital $580 what you pay what your plan pays
Deductible not metearly in the plan year
Vassar Brothers Medical Center
O'Connor Hospital
$6,249you feel all of it
Deductible met20% coinsurance
Vassar Brothers Medical Center
O'Connor Hospital
$1,250$4,999 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Vassar Brothers Medical Center
O'Connor Hospital
$0the market goes blind

The gap is $6,249 in every row. The only thing that changes is how much of it reaches the person choosing. Nobody hid the price — the deductible structure hides the difference, and a difference nobody feels is a difference nobody shops. Illustration uses a 20% coinsurance plan with no separate facility or professional bill; your own plan governs.

Detail (click headers to sort, or “why” for cost vs price)

HospitalCommercial medianMedicare% of MedicareEst. cost*Plan rows
Clifton Springs Hospital And Clinic⚠ data flag$278$1,16124%—1
Bertrand Chaffee Hospital⚠ data flag$319$1,16127%$20618
Newark-Wayne Community Hospital⚠ data flag$330$1,16128%—1
United Memorial Medical Center⚠ data flag$352$1,16130%—3
Phelps Hospital⚠ data flag ● actual$408$1,16135%$8154
Medina Memorial Hospital⚠ data flag$434$95046%—7
F F Thompson Hospital⚠ data flag$454$1,16139%—14
St Anthony Community Hospital⚠ data flag$486$1,16142%$16212
Nicholas H Noyes Memorial Hospital⚠ data flag$573$1,16149%—18
O'Connor Hospital$580$95061%—12
Cobleskill Regional Hospital$622$95065%—16
St James Hospital⚠ data flag$676$1,16158%—16
Little Falls Hospital$705$95074%—13
Westfield Memorial Hospital$713$1,16161%$26324
Adirondack Medical Center - Saranac Lake$844$1,16173%$4175
Lewis County General Hospital$912$95096%—8
River Hospital Clinics$950$950100%—7
Cuba Memorial Hospital$971$950102%—3
Montefiore Medical Center$972$1,16184%$29395
Auburn Community Hospital$982$1,16185%$12818
Bronxcare Hospital Center$1,027$1,16188%$1,23643
Rome Memorial Hospital ● actual$1,091$1,16194%$1,67710
Brooks-Tlc Hospital System$1,101$1,16195%—6
Montefiore New Rochelle Hospital$1,111$1,16196%—47
St Barnabas Hospital$1,114$1,16196%$84415
Oneida Health Hospital ● actual$1,161$1,161100%$1,29121
Brookdale Hospital Medical Center$1,161$1,161100%$1,22031
Olean General Hospital$1,165$1,161100%—15
St John'S Riverside Hospital$1,176$1,161101%$86818
Strong Memorial Hospital ● actual$1,185$1,161102%—33
Niagara Falls Memorial Medical Center ● actual$1,190$1,161102%$81411
Wyckoff Heights Medical Center ● actual$1,213$1,161104%$1,08325
Jones Memorial Hospital$1,221$1,161105%—18
Kaleida Health$1,234$1,161106%—21
Suny/Downstate University Hospital Of Brooklyn$1,258$1,161108%$69618
Wynn Hospital ● actual$1,265$1,161109%$20134
Ellis Hospital$1,272$1,161110%$40112
White Plains Hospital Center$1,276$1,161110%$1,92946
Carthage Area Hospital$1,283$950135%—3
Arnot Ogden Medical Center$1,314$1,161113%$84011
Chenango Memorial Hospital$1,393$1,161120%—7
Montefiore Mount Vernon Hospital$1,459$1,161126%$5,17453
St Joseph'S Medical Center$1,491$1,161128%—3
Nyack Hospital$1,497$1,161129%—40
Montefiore St Luke'S Cornwall$1,500$1,161129%—37
Crouse Hospital$1,535$1,161132%—11
Upmc Chautauqua At Wca$1,750$1,161151%$1,12816
Harlem Hospital Center ● actual$1,766$1,161152%$88662
Flushing Hospital Medical Center$1,802$1,161155%$1,68425
Elmhurst Hospital Center ● actual$1,811$1,161156%$83563
Kings County Hospital Center ● actual$1,826$1,161157%$90363
South Brooklyn Health ● actual$1,830$1,161158%$81162
Metropolitan Hospital Center ● actual$1,831$1,161158%$1,09063
Woodhull Medical & Mental Health Center ● actual$1,833$1,161158%$1,32263
Jacobi Medical Center ● actual$1,835$1,161158%$1,10763
Bellevue Hospital Center ● actual$1,835$1,161158%$1,01763
Lincoln Medical & Mental Health Center ● actual$1,839$1,161158%$95963
Queens Hospital Center ● actual$1,840$1,161159%$1,15463
Saratoga Hospital$1,841$1,161159%$61420
Ny Eye And Ear Infirmary Of Mount Sinai$1,901$1,161164%—10
Highland Hospital$1,914$1,161165%—14
Ellenville Regional Hospital$2,000$950210%—10
Geneva General Hospital$2,048$1,161176%—3
Delaware Valley Hospital$2,080$950219%—4
Wyoming County ● actual$2,090$950220%—2
Richmond University Medical Center ● actual$2,104$1,161181%$1,26915
Guthrie Cortland Regional Medical Center$2,122$1,161183%$85922
Columbia Memorial Hospital ● actual$2,157$1,161186%$41120
Erie County Medical Center$2,199$1,161189%—27
Nassau University Medical Center$2,250$1,161194%$94210
Northern Westchester Hospital$2,259$1,161195%—38
St Francis Hospital - The Heart Center$2,259$1,161195%—77
St Charles Hospital$2,259$1,161195%—89
Mercy Medical Center$2,259$1,161195%—90
Good Samaritan Hospital Medical Center$2,259$1,161195%—78
Chsli St Joseph Hospital$2,259$1,161195%—78
St Catherine Of Siena Hospital$2,259$1,161195%—90
Elizabethtown Community Hospital$2,270$950239%—16
United Health Services Hospitals$2,420$1,161209%—8
Glens Falls Hospital$2,426$1,161209%$1,14722
Jamaica Hospital Medical Center ● actual$2,459$1,161212%$1,41629
Long Island Community Hospital ● actual$2,459$1,161212%$230278
The University Of Vermont Health Network-Alice Hy$2,531$950266%—10
St Joseph'S Hospital Health Center ● actual$2,534$1,161218%—72
Garnet Health Medical Center$2,572$1,161222%—14
University Hospital S U N Y Health Science Center$2,685$1,161231%—4
Corning Hospital$2,797$1,161241%$59724
Schuyler Hospital$2,821$950297%—5
Samaritan Medical Center$2,868$1,161247%—4
Our Lady Of Lourdes Memorial Hospital$2,881$1,161248%$1,68518
Garnet Health Medical Center Catskills$2,902$1,161250%—11
Putnam Hospital Center$2,915$1,161251%—8
Albany Medical Center Hospital ● actual$2,946$1,161254%$51522
Brooklyn Hospital Center - Downtown Campus ● actual$3,053$1,161263%$2,57310
John T Mather Memorial Hospital Of Port Jefferson$3,062$1,161264%—38
Ns/Lij Hs Southside Hospital$3,108$1,161268%—38
Ns/Lij Hs Huntington Hospital$3,108$1,161268%—38
North Shore University Hospital$3,108$1,161268%—38
Peconic Bay Medical Center$3,108$1,161268%—38
Lenox Hill Hospital$3,108$1,161268%—38
Staten Island University Hospital$3,108$1,161268%—38
Northwell Hospital Glen Cove$3,108$1,161268%—38
Long Island Jewish Medical Center$3,108$1,161268%—38
Plainview Hospital$3,108$1,161268%—38
Hudson Valley Hospital Center$3,350$1,161289%$1,14024
Oswego Hospital ● actual$3,400$1,161293%$1,8315
Cayuga Medical Center At Ithaca ● actual$3,416$1,161294%$2,2177
The University Of Vermont Health Network - Champl$3,469$1,161299%$1,62219
New York-Presbyterian/Queens$3,570$1,161308%—18
New York Community Hospital Of Brooklyn.$3,685$1,161317%—14
Mount Sinai Hospital$3,703$1,161319%—15
New York-Presbyterian Hospital$3,997$1,161344%—19
Suny/Stony Brook University Hospital$4,411$1,161380%$1,65815
Northern Dutchess Hospital$4,550$1,161392%—7
Maimonides Medical Center$4,574$1,161394%—16
Healthalliance Hospital Marys Avenue Campus$4,642$1,161400%—17
Margaretville Memorial Hospital$4,642$950489%—13
St Peter'S Hospital ● actual$4,764$1,161410%—110
Samaritan Hospital Of Troy, New York ● actual$4,764$1,161410%—111
Bon Secours Community Hospital$4,906$1,161423%—14
Good Samaritan Hospital Of Suffern$4,906$1,161423%—14
Mount Sinai West$5,507$1,161474%—15
Mount Sinai South Nassau$6,077$1,161523%—10
Westchester Medical Center$6,104$1,161526%—18
Nyu Langone Hospitals$6,733$1,161580%$304270
Vassar Brothers Medical Center$6,829$1,161588%—5

*Cost estimates use hospital-level cost-to-charge ratios from federal cost reports and are approximate; ~ marks categories (imaging, labs) where they are least precise. "Plan rows" is how many distinct plan rates the hospital published; medians over more rows are sturdier.
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Rexroad Analytics · Data: hospital machine-readable files (45 CFR 180, schema v3.0) retrieved September 28 – October 6, 2026; Medicare benchmarks from CMS claims data and fee schedules; cost estimates from FY2026 CMS cost-report ratios, labeled as estimates. Not medical, legal, or benefits advice. Full methodology → · The American Healthcare Conundrum →