CMS Price Transparency Data

Colorectal cancer screening

Facility: Ochsner Stennis Memorial Hospital

Billing Code: G0010 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0010
  • Insurance Median: $93
  • Cash Discount Price: $96
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a Colorectal cancer screening at Ochsner Stennis Memorial Hospital is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.94x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.
Cash / Self-Pay
$96

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$47.84

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $47.84 (100%)
Cash / Self-Pay: $96 (201%)
Insurance Median: $93 (194%)
Cash: $96 (201% of Medicare)
Ins. Median: $93 (194% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $47.84 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
UnitedHealthcare $13 - $197 27%
Blue Cross Blue Shield $14 - $111 29%
Humana $15 - $197 31%
Aetna $29 - $90 61%
Prime Health Services PPO -Workers Comp $36 - $51 75%
Cor Vel $37 - $52 77%
Cigna $44 - $197 92%
Medicare (plans) $52 - $226 109%
Ambetter / Centene $53 - $84 111%
Magnolia Health Plan – Wellcare By All Well of Mississippi $53 - $197 111%
Shared Health Mississippi $55 - $207 115%
Primewell Health Services Commercial Exchange Plan $59 - $93 123%
Primewell Health Services – Commercial $59 - $93 123%
Select Administrative Services Network $61 - $97 128%
Claritev D/B/A Multiplan/Phcs/American Life Care $66 - $104 138%
Zelis $66 - $104 138%
Prime Health Services PPO $70 - $111 146%
Medicaid / KanCare $168 - $210 351%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14365 Highway 16 West, De Kalb, MS 39328
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals