CMS Price Transparency Data
Colorectal cancer screening (alternative)
Facility: Mainehealth Stephens Hospital
Billing Code: G0145 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$38
about 1.5× the $26 Medicare rate · typically $28–$76
modeled estimate · not a bill or quote
Medicare pays $26 Fair price $38 Cash price $33 Hospital's list price $33
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 | $13 - $32 | 49% |
| Blue Cross Blue Shieldmajor | $13 - $88 | 49% |
| Aetnamajor | $13 - $36 | 49% |
| Cignamajor | $31 | 117% |
| Humanamajor | $13 - $31 | 49% |
| Harvard Pilgrim | $29 - $41 | 109% |
| WellCare | $14 - $32 | 53% |
| + 1 smaller / regional plan | $32 - $56 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mainehealth Stephens Hospital
Compare: Colorectal cancer screening (alternative) at other ME hospitals
Insurance negotiated median for the same procedure, sorted lowest first.