CMS Price Transparency Data
Colorectal cancer screening (alternative)
Facility: Mainehealth Franklin 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–$72
modeled estimate · not a bill or quote
Medicare pays $26 Fair price $38 Cash price $189 Hospital's list price $189
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 | $31 - $168 | 117% |
| Blue Cross Blue Shieldmajor | $31 - $88 | 117% |
| Aetnamajor | $27 - $144 | 102% |
| Cignamajor | $158 | 596% |
| Harvard Pilgrim | $29 - $159 | 109% |
| WellCare | $31 - $58 | 117% |
| + 1 smaller / regional plan | $56 - $165 |
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 Franklin Hospital
Compare: Colorectal cancer screening (alternative) at other ME hospitals
Insurance negotiated median for the same procedure, sorted lowest first.