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CPT 45378Pennsylvania

Colonoscopy Cost in Pennsylvania

99 hospitals in Pennsylvania report pricing for colonoscopy. The average cash price is $1,878.

Hospitals

99

in Pennsylvania

Average List Price

$3,428

gross charge

Average Cash Price

$1,878

45% below list price

Price Range

$510 – $12,899

25.3x spread

DIAGNOSTIC COLONOSCOPY costs an average of $1,878 (cash/self-pay price) in Pennsylvania, based on data from 99 hospitals reporting to MyCareCost. Prices range from $510 to $12,899 depending on the hospital and facility type. These figures come from hospital machine-readable price transparency files published under federal CMS rules, not estimates.

Hospital Prices in Pennsylvania

Sorted by lowest cash price
FORBES HOSPITAL

MONROEVILLE, PA · Voluntary non-profit - Private

0.1/10

List Price

$512

Cash Price

$113-78%

Negotiated Range

$74$2,071

JEFFERSON HOSPITAL

JEFFERSON HILLS, PA · Voluntary non-profit - Private

0.1/10

List Price

$512

Cash Price

$113-78%

Negotiated Range

$74$2,071

CANONSBURG GENERAL HOSPITAL

CANONSBURG, PA · Voluntary non-profit - Private

0.1/10

List Price

$512

Cash Price

$113-78%

Negotiated Range

$74$2,071

SAINT VINCENT HOSPITAL

ERIE, PA · Voluntary non-profit - Private

0.1/10

List Price

$512

Cash Price

$113-78%

Negotiated Range

$74$2,071

GROVE CITY MEDICAL CENTER

GROVE CITY, PA · Voluntary non-profit - Private

0.1/10

List Price

$512

Cash Price

$113-78%

Negotiated Range

$74$2,071

TITUSVILLE AREA HOSPITAL

TITUSVILLE, PA · Voluntary non-profit - Private

0.1/10

List Price

$510

Cash Price

$306-40%

Negotiated Range

$21$712

CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER

WINDBER, PA · Voluntary non-profit - Private

0.1/10

List Price

$547

Cash Price

$465-15%

Negotiated Range

$28$1,778

UPMC COLE

COUDERSPORT, PA · Voluntary non-profit - Private

0.1/10

List Price

$1,015

Cash Price

$609-40%

Negotiated Range

$190$2,316

GEISINGER JERSEY SHORE HOSPITAL

JERSEY SHORE, PA · Voluntary non-profit - Private

0.1/10

List Price

$1,020

Cash Price

$632-38%

Negotiated Range

$164$1,083

ST CLAIR HOSPITAL

PITTSBURGH, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,578

Cash Price

$640-75%

Negotiated Range

$414$2,973

UPMC KANE

KANE, PA · Voluntary non-profit - Private

0.1/10

List Price

$1,244

Cash Price

$746-40%

Negotiated Range

$199$28,005

LOWER BUCKS HOSPITAL

BRISTOL, PA · Proprietary

0.1/10

List Price

$1,021

Cash Price

$914-10%

Negotiated Range

$178$1,021

ROXBOROUGH MEMORIAL HOSPITAL

PHILADELPHIA, PA · Proprietary

0.1/10

List Price

$6,853

Cash Price

$950-86%

Negotiated Range

$191$6,648

SUBURBAN COMMUNITY HOSPITAL

NORRISTOWN, PA · Voluntary non-profit - Private

0.1/10

List Price

$6,853

Cash Price

$950-86%

Negotiated Range

$191$6,648

TEMPLE UNIVERSITY HOSPITAL

PHILADELPHIA, PA · Voluntary non-profit - Private

0.1/10

List Price

$4,197

Cash Price

$956-77%

Negotiated Range

$99$10,565

TEMPLE HEALTH - CHESTNUT HILL HOSPITAL

PHILADELPHIA, PA · Voluntary non-profit - Private

0.1/10

List Price

$4,197

Cash Price

$956-77%

Negotiated Range

$253$5,951

JEFFERSON EINSTEIN MONTGOMERY HOSPITAL

EAST NORRITON, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

$1,044

Negotiated Range

$839$8,218

JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL

PHILADELPHIA, PA · Voluntary non-profit - Other

0.1/10

List Price

N/A

Cash Price

$1,044

Negotiated Range

$839$8,218

JEFFERSON ABINGTON HOSPITAL

ABINGTON, PA · Voluntary non-profit - Private

0.1/10

List Price

$3,669

Cash Price

$1,049-71%

Negotiated Range

$55$3,508

JEFFERSON LANSDALE HOSPITAL

LANSDALE, PA · Voluntary non-profit - Private

0.1/10

List Price

$3,669

Cash Price

$1,072-71%

Negotiated Range

$99$9,623

THOMAS JEFFERSON UNIVERSITY HOSPITAL

PHILADELPHIA, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,843

Cash Price

$1,099-61%

Negotiated Range

$99$6,300

JEFFERSON HEALTH- NORTHEAST

PHILADELPHIA, PA · Voluntary non-profit - Private

0.1/10

List Price

$4,869

Cash Price

$1,099-77%

Negotiated Range

$99$7,187

EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL

GREENSBURG, PA · Voluntary non-profit - Other

0.1/10

List Price

$1,950

Cash Price

$1,170-40%

Negotiated Range

$414$2,422

EXCELA HEALTH LATROBE HOSPITAL

LATROBE, PA · Voluntary non-profit - Private

0.1/10

List Price

$1,950

Cash Price

$1,170-40%

Negotiated Range

$414$2,422

EXCELA HEALTH - FRICK HOSPITAL

MOUNT PLEASANT, PA · Voluntary non-profit - Other

0.1/10

List Price

$1,950

Cash Price

$1,170-40%

Negotiated Range

$8$60

UNIONTOWN HOSPITAL

UNIONTOWN, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,468

Cash Price

$1,234-50%

Negotiated Range

$105$2,001

RIDDLE MEMORIAL HOSPITAL

MEDIA, PA · Voluntary non-profit - Private

0.1/10

List Price

$3,099

Cash Price

$1,240-60%

Negotiated Range

$955$4,810

MAIN LINE HOSPITAL LANKENAU

WYNNEWOOD, PA · Voluntary non-profit - Private

0.1/10

List Price

$3,099

Cash Price

$1,240-60%

Negotiated Range

$964$4,810

BRYN MAWR HOSPITAL

BRYN MAWR, PA · Voluntary non-profit - Private

0.1/10

List Price

$3,099

Cash Price

$1,240-60%

PAOLI HOSPITAL

PAOLI, PA · Voluntary non-profit - Private

0.1/10

List Price

$3,099

Cash Price

$1,240-60%

Negotiated Range

$955$4,810

SURGICAL INSTITUTE OF READING

WYOMISSING, PA · Physician

0.1/10

List Price

$5,284

Cash Price

$1,254-76%

Negotiated Range

$181$4,386

UPMC SOMERSET

SOMERSET, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,218

Cash Price

$1,331-40%

Negotiated Range

$199$2,937

UPMC BEDFORD MEMORIAL

EVERETT, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,500

Cash Price

$1,500-40%

Negotiated Range

$190$2,493

UPMC PINNACLE HOSPITALS

HARRISBURG, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,500

Cash Price

$1,500-40%

Negotiated Range

$154$2,250

UPMC HORIZON

GREENVILLE, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,500

Cash Price

$1,500-40%

Negotiated Range

$199$2,316

UPMC HAMOT

ERIE, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,500

Cash Price

$1,500-40%

Negotiated Range

$199$3,528

UPMC EAST

MONROEVILLE, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,500

Cash Price

$1,500-40%

Negotiated Range

$199$4,394

UPMC PASSAVANT

PITTSBURGH, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,500

Cash Price

$1,500-40%

Negotiated Range

$154$2,250

MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM

PITTSBURGH, PA · Voluntary non-profit - Other

0.1/10

List Price

$2,500

Cash Price

$1,500-40%

Negotiated Range

$199$4,282

UPMC CHILDREN'S HOSPITAL OF PITTSBURGH

PITTSBURGH, PA · Voluntary non-profit - Other

0.1/10

List Price

$2,500

Cash Price

$1,500-40%

Negotiated Range

$188$3,125

UPMC MERCY

PITTSBURGH, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,500

Cash Price

$1,500-40%

Negotiated Range

$199$4,521

UPMC ST MARGARET

PITTSBURGH, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,500

Cash Price

$1,500-40%

Negotiated Range

$199$4,394

UPMC ALTOONA

ALTOONA, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,500

Cash Price

$1,500-40%

Negotiated Range

$181$2,523

UPMC MCKEESPORT HOSPITAL

MC KEESPORT, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,500

Cash Price

$1,500-40%

Negotiated Range

$199$3,720

UPMC WILLIAMSPORT

WILLIAMSPORT, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,500

Cash Price

$1,500-40%

Negotiated Range

$199$2,250

UPMC JAMESON

NEW CASTLE, PA · Voluntary non-profit - Other

0.1/10

List Price

$2,500

Cash Price

$1,500-40%

Negotiated Range

$199$2,316

UPMC NORTHWEST

SENECA, PA · Voluntary non-profit - Other

0.1/10

List Price

$2,500

Cash Price

$1,500-40%

Negotiated Range

$199$3,704

UPMC PRESBYTERIAN SHADYSIDE

PITTSBURGH, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,500

Cash Price

$1,500-40%

Negotiated Range

$199$5,023

WARREN GENERAL HOSPITAL

WARREN, PA · Voluntary non-profit - Private

0.1/10

List Price

$3,181

Cash Price

$1,591-50%

Negotiated Range

$146$3,181

WAYNE MEMORIAL HOSPITAL

HONESDALE, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,320

Cash Price

$1,624-30%

Negotiated Range

$926$1,856

UPMC MUNCY

MUNCY, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,756

Cash Price

$1,654-40%

Negotiated Range

$199$2,618

PENN STATE HEALTH HAMPDEN MEDICAL CENTER

ENOLA, PA · Voluntary non-profit - Private

0.1/10

List Price

$5,926

Cash Price

$1,865-69%

Negotiated Range

$773$4,741

HOLY REDEEMER HOSPITAL AND MEDICAL CENTER

MEADOWBROOK, PA · Voluntary non-profit - Church

0.1/10

List Price

$4,693

Cash Price

$1,877-60%

Negotiated Range

$903$2,906

BARNES-KASSON COUNTY HOSPITAL

SUSQUEHANNA, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,735

Cash Price

$1,915-30%

UPMC WELLSBORO

WELLSBORO, PA · Voluntary non-profit - Private

0.1/10

List Price

$2,625

Cash Price

$2,000-24%

Negotiated Range

$199$2,494

MEADVILLE MEDICAL CENTER

MEADVILLE, PA · Voluntary non-profit - Private

0.1/10

List Price

$3,382

Cash Price

$2,029-40%

Negotiated Range

$171$2,895

REGIONAL HOSPITAL OF SCRANTON

SCRANTON, PA · Proprietary

0.1/10

List Price

$7,642

Cash Price

$2,063-73%

Negotiated Range

$181$7,642

GEISINGER WYOMING VALLEY MEDICAL CENTER

WILKES BARRE, PA · Voluntary non-profit - Private

0.1/10

List Price

$3,959

Cash Price

$2,455-38%

Negotiated Range

$181$912

GEISINGER MEDICAL CENTER MUNCY

MUNCY, PA · Voluntary non-profit - Private

0.1/10

List Price

$3,959

Cash Price

$2,455-38%

Negotiated Range

$181$912

GEISINGER MEDICAL CENTER

DANVILLE, PA · Voluntary non-profit - Private

0.1/10

List Price

$3,959

Cash Price

$2,455-38%

Negotiated Range

$181$4,208

ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS

QUAKERTOWN, PA · Proprietary

0.1/10

List Price

$4,320

Cash Price

$2,592-40%

Negotiated Range

$35$1,696

WILKES-BARRE GENERAL HOSPITAL

WILKES-BARRE, PA · Proprietary

0.1/10

List Price

$12,843

Cash Price

$3,082-76%

Negotiated Range

$181$12,843

DOYLESTOWN HOSPITAL

DOYLESTOWN, PA · Voluntary non-profit - Private

0.1/10

List Price

$3,923

Cash Price

$3,923

Negotiated Range

$821$2,463

TROY COMMUNITY HOSPITAL

TROY, PA · Voluntary non-profit - Private

0.1/10

List Price

$5,258

Cash Price

$4,206-20%

Negotiated Range

$282$5,258

ROBERT PACKER HOSPITAL

SAYRE, PA · Voluntary non-profit - Private

0.1/10

List Price

$5,258

Cash Price

$4,206-20%

Negotiated Range

$282$6,432

PENNSYLVANIA HOSPITAL

PHILADELPHIA, PA · Voluntary non-profit - Private

0.1/10

List Price

$4,342

Cash Price

$4,342

Negotiated Range

$71$4,342

NAZARETH HOSPITAL

PHILADELPHIA, PA · Voluntary non-profit - Private

0.1/10

List Price

$6,975

Cash Price

$4,534-35%

Negotiated Range

$9$2,730

ST MARY MEDICAL CENTER

LANGHORNE, PA · Voluntary non-profit - Private

0.1/10

List Price

$7,132

Cash Price

$4,636-35%

Negotiated Range

$117$4,967

PENN PRESBYTERIAN MEDICAL CENTER

PHILADELPHIA, PA · Voluntary non-profit - Other

0.1/10

List Price

$4,779

Cash Price

$4,779

Negotiated Range

$808$4,863

WELLSPAN YORK HOSPITAL

YORK, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

$4,976

Negotiated Range

$446$6,420

MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD

DARBY, PA · Voluntary non-profit - Private

0.1/10

List Price

$12,899

Cash Price

$8,384-35%

Negotiated Range

$117$4,611

PHYSICIANS CARE SURGICAL HOSPITAL

ROYERSFORD, PA · Physician

0.1/10

List Price

$5,781

Cash Price

$10,218

Negotiated Range

$537$27,099

PENN HIGHLANDS MON VALLEY

MONONGAHELA, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$85$1,987

UPMC CARLISLE

CARLISLE, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$229$5,035

UPMC GREENE

WAYNESBURG, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$208$1,869

UPMC HANOVER

HANOVER, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$229$5,035

ST LUKE'S HOSPITAL - ANDERSON CAMPUS

EASTON, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$181$4,300

GEISINGER ST. LUKE'S HOSPITAL

ORWIGSBURG, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$209$2,887

UPMC LITITZ

LITITZ, PA · Voluntary non-profit - Other

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$229$5,035

INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA

BUTLER, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$40$2,249

ST LUKE'S MINERS MEMORIAL HOSPITAL

COALDALE, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$208$4,300

PENN HIGHLANDS TYRONE

TYRONE, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$199$199

WELLSPAN WAYNESBORO HOSPITAL

WAYNESBORO, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$465$3,731

ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS

SELLERSVILLE, PA · Voluntary non-profit - Other

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$217$20,758

ST LUKE'S HOSPITAL - MONROE CAMPUS

STROUDSBURG, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$213$4,300

WELLSPAN EVANGELICAL COMMUNITY HOSPITAL

LEWISBURG, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$854$4,362

ST LUKE'S HOSPITAL - CARBON CAMPUS

LEHIGHTON, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$213$4,300

PENN HIGHLANDS HUNTINGDON

HUNTINGDON, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$199$199

PENN HIGHLANDS CONNELLSVILLE

CONNELLSVILLE, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$148$1,677

UPMC MEMORIAL

YORK, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$229$5,035

PENN HIGHLANDS ELK

SAINT MARYS, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$199$199

PENN HIGHLANDS DUBOIS

DUBOIS, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$199$199

GETTYSBURG HOSPITAL

GETTYSBURG, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$554$6,420

ST LUKES HOSPITAL BETHLEHEM

BETHLEHEM, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$181$4,300

CLARION HOSPITAL

CLARION, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$181$2,061

WELLSPAN EPHRATA COMMUNITY HOSPITAL

EPHRATA, PA · Voluntary non-profit - Other

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$440$9,629

MOUNT NITTANY MEDICAL CENTER

STATE COLLEGE, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$181$4,071

PENN HIGHLANDS BROOKVILLE

BROOKVILLE, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$199$199

ST LUKE'S HOSPITAL - EASTON CAMPUS

EASTON, PA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$208$4,128

Colonoscopy Cost by City in Pennsylvania

Colonoscopy Cost in Other States

What Affects DIAGNOSTIC COLONOSCOPY Cost in Pennsylvania

If you're researching diagnostic colonoscopy costs in Pennsylvania, you'll find significant price differences between providers — even those just miles apart.

The price of diagnostic colonoscopy varies based on hospital size, ownership type (nonprofit vs. for-profit), and whether the facility belongs to a large health system. Consolidated systems often maintain higher prices due to reduced local competition.

Based on data from 99 hospitals in Pennsylvania, diagnostic colonoscopy prices range from $510 to $12,899 — a 25.3x difference. This wide variation underscores why comparing prices before scheduling is critical for controlling your out-of-pocket costs.

Hospital vs. Outpatient Center Pricing in Pennsylvania

Hospital pricing for diagnostic colonoscopy in Pennsylvania varies based on facility size, ownership type, and local market competition. Larger health systems and academic medical centers often have higher chargemaster prices, while community hospitals and outpatient clinics may offer more competitive rates.

When comparing options for diagnostic colonoscopy, consider both price and quality metrics. MyCareCost includes compliance and quality data alongside pricing to help you make a more informed decision.

Self-Pay vs. Insurance Cost Differences in Pennsylvania

If you're paying out of pocket for diagnostic colonoscopy in Pennsylvania, you may be able to negotiate a rate lower than the hospital's published list price. Federal law requires hospitals to post cash-pay rates, making it easier to compare options before scheduling.

In Pennsylvania, the average cash price for diagnostic colonoscopy is $1,878, which is 45% lower than the average list price of $3,428. This discount is typical of what self-pay patients can expect when asking for the hospital's uninsured rate.

For insured patients, the negotiated rate between your plan and the hospital determines your cost share. If you haven't met your deductible, you may pay more than the cash price. It's worth asking the hospital whether their self-pay rate is lower than what your insurance would charge — some patients save money by not filing a claim.

Related Procedure Costs

Frequently Asked Questions About Colonoscopy Cost in Pennsylvania

How much does DIAGNOSTIC COLONOSCOPY cost in Pennsylvania?
The average cash price for diagnostic colonoscopy in Pennsylvania is $1,878. Prices range from $510 to $12,899 depending on the hospital and whether you pay cash or use insurance.
Why do DIAGNOSTIC COLONOSCOPY prices vary so much in Pennsylvania?
Hospital prices for diagnostic colonoscopy in Pennsylvania differ based on facility type (hospital vs. independent center), negotiated insurance rates, hospital overhead, and local market competition. Hospitals with less nearby competition tend to charge more.
Can I get a cheaper DIAGNOSTIC COLONOSCOPY by paying cash?
Yes. In Pennsylvania, the average cash price for diagnostic colonoscopy is $1,878, which is 45% below the average list price of $3,428. Many hospitals offer additional discounts if you pay upfront.
What is the cheapest hospital for DIAGNOSTIC COLONOSCOPY in Pennsylvania?
The cheapest hospital depends on current published rates. Use the price comparison table above to see which facility in Pennsylvania offers the lowest cash price for diagnostic colonoscopy. Prices can change, so verify directly with the hospital before scheduling.
Does insurance cover DIAGNOSTIC COLONOSCOPY?
Most health insurance plans cover diagnostic colonoscopy when medically necessary and ordered by a physician. Your out-of-pocket cost depends on your deductible, copay, and coinsurance, and whether the provider is in-network. Contact your insurer for a pre-authorization estimate.

Want the true total cost of DIAGNOSTIC COLONOSCOPY?

Total Care Cost surfaces bundled facility and professional pricing so you can compare options and cut out-of-pocket surprises before you schedule.

Data sourced from hospital machine-readable price transparency files as required by 45 CFR Parts 180 and 182. Prices are informational only and may not reflect current rates. Always confirm pricing directly with the hospital before scheduling.