CMS Price Transparency Data

Colorectal cancer screening (alternative)

Facility: St Elizabeth Edgewood

Billing Code: G0145 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$29
about 1.1× the $26 Medicare rate · typically $29–$35
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
About the fair price
1.1× Medicare
Medicare pays $26 Fair price $29 This hospital $29 Cash price $79 Hospital's list price $79

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $22 Priciest $29

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

A fair price for a Colorectal cancer screening (alternative) is about $29 (about 1.1× the $26 Medicare rate). St Elizabeth Edgewood charges insurers about $29, or about $79 in cash — about the fair price. Located in Edgewood, KY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $27 - $32 102%
Blue Cross Blue Shieldmajor $22 83%
Aetnamajor $64 242%
Cignamajor $18 - $36 68%
Ambetter (Centene) $26 - $53 98%
CareSource $37 140%
Devoted Health $28 106%
Medical Mutual $11 42%
WellCare $29 109%
+ 1 smaller / regional plan $59 - $65

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Facility Profile & Credentials

  • Address: 1 Medical Village Drive, Edgewood, KY 41017
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals