Price Checker / CPT 78266
CPT 78266 — Gstr empt img sm bwl&colon
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$395
What Medicare pays in a hospital/ASC setting
$395
What Medicare pays in a physician's office
$6,002
Based on 25 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 78266
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Kindred Hospital Philadelphia - Havertown Havertown, PA | $8,979 | — | 2174% |
| Kindred Hospital Philadelphia - Havertown , PA | $8,979 | $8,979 | 2174% |
| Kindred Hospital Philadelphia , PA | $8,979 | $8,979 | 2174% |
| Kindred Hospital Philadelphia Philadelphia, PA | $8,979 | — | 2174% |
| Kindred Hospital Baldwin Park Baldwin Park, CA | $5,796 | — | 1368% |
| Kindred Hospital Brea Brea, CA | $5,796 | — | 1368% |
| Kindred Hospital La Mirada La Mirada, CA | $5,796 | — | 1368% |
| Kindred Hospital Los Angeles Los Angeles, CA | $5,796 | — | 1368% |
| Kindred Hospital Ontario Ontario, CA | $5,796 | — | 1368% |
| Kindred Hospital Paramount Paramount, CA | $5,796 | — | 1368% |
| Kindred Hospital Rancho Rancho Cucamonga, CA | $5,796 | — | 1368% |
| Kindred Hospital Riverside Perris, CA | $5,796 | — | 1368% |
| Kindred Hospital San Diego San Diego, CA | $5,796 | — | 1368% |
| Kindred Hospital San Francisco Bay Area San Leandro, CA | $5,796 | — | 1368% |
| Kindred Hospital San Gabriel Valley West Covina, CA | $5,796 | — | 1368% |
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About CPT 78266
CPT code 78266 refers to “Gstr empt img sm bwl&colon”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $395 in a facility (hospital or ambulatory surgery center) and $395in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.