CMS Price Transparency Data

Colorectal cancer screening

Facility: Memorial Hospital Miramar

Billing Code: G0010 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0010
  • Insurance Median: $25
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 0.52x Medicare
The contracted insurance negotiated median rate for a Colorectal cancer screening at Memorial Hospital Miramar is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 0.52x the Medicare baseline. Located in 1901 Sw 172Nd Ave, Miramar, FL.
Cash / Self-Pay
$27

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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%)
Cash / Self-Pay: $27 (56%)
Insurance Median: $25 (52%)
Cash: $27 (56% of Medicare)
Ins. Median: $25 (52% 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.

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
Avmed $6 - $12 13%
Amerihealth Caritas $6 13%
UnitedHealthcare $6 - $59 13%
Community Care Plan $7 15%
Cigna $7 - $18 15%
Molina $7 15%
Aetna $8 - $54 17%
Employers Health Network $12 25%
Sunshine $16 - $93 33%
Emerging Therapy Solutions $23 48%
Global Health Claims $25 - $33 52%
Plotkin $25 52%
Quality Health Management $25 52%
Axis $25 52%
Desjardins Financial Security Life Assurance Company $25 52%
World Medical Care $25 52%
National Healthcare Solutions $25 52%
Worldwide Medical Assurance $25 52%
Allianz $25 52%
Global Reach Health $25 52%
Star Healthcare Network $25 52%
Global Medical Management $25 52%
Quebec Inc $25 52%
Worldwide Managed Care Partners $25 52%
Dimension Health $26 54%
Health Sun $29 - $56 61%
Gallagher Bassett $31 - $79 65%
Florida Community Care $52 109%
Wellcare $52 - $53 109%
Humana $53 111%
Solis Health Plan $55 115%
Florida Pace Centers $56 117%
Align Senior Care $60 125%
Longevity $61 128%
First Health $79 165%
Prime Health Services $79 165%
Employers Choice Network $79 165%
Corvel $79 165%
Broward County $718 - $2,726 1501%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 Sw 172Nd Ave, Miramar, FL 33029
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals