CMS Price Transparency Data
Colorectal cancer screening
Facility: Mercy Health Saint Mary's
Billing Code: G0010 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$45
about 0.9× the $48 Medicare rate · typically $37–$84
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $45 Cash price $25 Hospital's list price $39
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 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 | $17 - $55 | 36% |
| Blue Cross Blue Shieldmajor | $16 - $52 | 33% |
| Aetnamajor | $10 - $46 | 21% |
| Cignamajor | $17 - $40 | 36% |
| Humanamajor | $18 - $55 | 38% |
| Kaiser Permanentemajor | $52 | 109% |
| AmeriHealth | $18 - $42 | 38% |
| CareSource | $15 - $36 | 31% |
| Dean Health Plan | $17 - $40 | 36% |
| GEHA | $14 - $42 | 29% |
| Medical Mutual | $14 - $35 | 29% |
| Molina | $61 | 128% |
| MVP Health Care | $17 - $40 | 36% |
| Oscar Health | $60 | 125% |
| Paramount | $17 - $40 | 36% |
| Priority Health | $128 - $131 | 268% |
| UniCare | $18 - $42 | 38% |
| + 144 smaller / regional plans | $13 - $72 |
Government programs also on file: Medicare, Medicaid.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercy Health Saint Mary's
Compare: Colorectal cancer screening at other MI hospitals
- McKenzie Health System · Sandusky $23
- Henry Ford Allegiance Health · Jackson $24
- Ascension Providence Hospital, Southfield and Novi · Southfield $25
- Huron Valley-Sinai Hospital · Commerce Township $26
- Henry Ford Health St John Hospital · Detroit $27
- Henry Ford Health Warren Hospital · Warren $27
- Henry Ford Macomb Hospital · Clinton Township $28
- Wyandotte Hospital and Medical Center · Wyandotte $28
Insurance negotiated median for the same procedure, sorted lowest first.