CMS Price Transparency Data

Colorectal cancer screening

Facility: St Marys Hospital

Billing Code: G0010 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$50
about 1.0× the $48 Medicare rate · typically $46–$55
modeled estimate · not a bill or quote
What this hospital charges insurers
$50
About the fair price
1.0× Medicare
Medicare pays $48 Fair price $50 This hospital $50 Cash price $99 Hospital's list price $138

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $23 Priciest $50

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Colorectal cancer screening is about $50 (about 1.0× the $48 Medicare rate). St Marys Hospital charges insurers about $50, or about $99 in cash — about the fair price. Located in Decatur, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $50 - $138 105%
Blue Cross Blue Shieldmajor $50 105%
Aetnamajor $50 - $76 105%
Cignamajor $84 - $110 176%
Humanamajor $50 105%
HealthLink $109 - $138 228%
Meridian $37 77%
Molina $35 - $53 73%
+ 16 smaller / regional plans $39 - $138
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1800 E Lake Shore Dr, Decatur, IL 62521
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals