CMS Price Transparency Data

Colorectal cancer screening

Facility: University of Alabama Hospital

Billing Code: G0010 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0010
  • Insurance Median: $106
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.22x Medicare
The contracted insurance negotiated median rate for a Colorectal cancer screening at University of Alabama Hospital is $106. 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 $47.84, this hospital’s rate is 2.22x 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
$106

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$47.84

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $47.84 (100%)
Insurance Median: $106 (222%)
Ins. Median: $106 (222% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $47.84 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 222% of the Medicare baseline (a markup of 122%). 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
Viva $17 - $42 36%
Humana $38 - $112 79%
Blue Cross Blue Shield $41 86%
Triwest $41 86%
Jefferson County Sheriff $41 86%
Birmingham Fc $41 86%
Cooper Green $41 86%
UnitedHealthcare $41 - $118 86%
Davita Villagehealth $41 86%
Cigna $44 - $101 92%
Ambetter / Centene $57 119%
University of Alabama $66 138%
Aetna $81 169%
Coventry $86 - $107 180%
North Alabama Managed Care $86 180%
Comp One $95 199%
Alamed $99 207%
Construction Claims Management $99 207%
Select Value Care $106 222%
Corvel $106 222%
Novanet $106 - $119 222%
Prime Health Services $106 - $119 222%
Healthcare Alliance $106 222%
Evolutions $106 - $119 222%
Starcare $106 222%
Tethys $106 222%
Multiplan $108 226%
Preferred Health Partnership $112 234%
Geha $112 234%
Vantage Health Plan $112 234%
Heritage Summit Health $112 234%
Gulf Health Plans $112 234%
Department of Labor $112 234%
Southern Nuclear $112 234%
Mississippi Physicians $112 234%
Phifer $112 234%
Galaxy Health Network $119 249%
National Provider Network $119 249%
North Mississippi Health Link $119 249%

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