CMS Price Transparency Data

Colorectal cancer screening (alternative)

Facility: Deaconess Henderson Hospital

Billing Code: G0145 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0145
  • Insurance Median: $26
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Colorectal cancer screening (alternative) at Deaconess Henderson Hospital is $26. 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 0.98x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $26 (98%)
Ins. Median: $26 (98% 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.

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
Blue Cross Blue Shield $22 - $26 83%
Humana $25 - $27 94%
Center Care Open Access $26 98%
Medicaid / KanCare $26 98%
Iu Health Plans $26 98%
Mytru Advantage $26 98%
Encircle/Encore Prime $26 98%
One Care $26 98%
Molina Healthcare of Ky - Exchange $26 98%
Encircle/Encore Combined $26 98%
Wellcare Ky $26 - $32 98%
Cigna $26 98%
Aetna $26 98%
UnitedHealthcare $26 - $32 98%
Mhs McO $26 98%
Wellcare Il $26 98%
Alliance Coal $26 98%
Molina Healthcare of Ky $26 98%
Center Care Narrow $26 98%
Medicare (plans) $26 98%
Umwa $26 98%
Hopetrust $37 140%
Hstechnology $37 140%
Amish and Mennonite of Western Ky $40 151%
Caresource in Marketplace $40 151%
Noncontracted $42 159%
Wellcare Ky Commercial Exchange $54 204%
Claimdoc $64 242%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals