CMS Price Transparency Data

Colorectal cancer screening (alternative)

Facility: University of Alabama Hospital

Billing Code: G0145 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0145
  • Insurance Median: $159
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 6.00x Medicare
The contracted insurance negotiated median rate for a Colorectal cancer screening (alternative) at University of Alabama Hospital is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $26.49, this hospital’s rate is 6.00x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$159

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$26.49

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $26.49 (100%)
Insurance Median: $159 (600%)
Ins. Median: $159 (600% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $26.49 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 600% of the Medicare baseline (a markup of 500%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $24 - $270 91%
Cooper Green $26 98%
Triwest $26 98%
Blue Cross Blue Shield $26 98%
Jefferson County Sheriff $26 98%
UnitedHealthcare $26 - $173 98%
Davita Villagehealth $26 98%
Birmingham Fc $26 98%
Viva $27 - $37 102%
Cigna $28 - $213 106%
Ambetter / Centene $36 136%
University of Alabama $64 - $159 242%
Aetna $77 - $194 291%
Coventry $83 - $257 313%
North Alabama Managed Care $83 - $207 313%
Comp One $91 - $229 344%
Construction Claims Management $95 - $238 359%
Alamed $95 - $238 359%
Evolutions $102 - $286 385%
Select Value Care $102 - $254 385%
Starcare $102 - $254 385%
Prime Health Services $102 - $286 385%
Corvel $102 - $254 385%
Tethys $102 - $254 385%
Healthcare Alliance $102 - $254 385%
Novanet $102 - $286 385%
Multiplan $104 - $261 393%
Department of Labor $108 - $270 408%
Preferred Health Partnership $108 - $270 408%
Southern Nuclear $108 - $270 408%
Mississippi Physicians $108 - $270 408%
Phifer $108 - $270 408%
Heritage Summit Health $108 - $270 408%
Vantage Health Plan $108 - $270 408%
Gulf Health Plans $108 - $270 408%
Geha $108 - $270 408%
National Provider Network $114 - $286 430%
North Mississippi Health Link $114 - $286 430%
Galaxy Health Network $114 - $286 430%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals