CMS Price Transparency Data
Colorectal cancer screening (alternative)
Facility: St James Hospital
Billing Code: G0145 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$67
about 2.6× the $26 Medicare rate · typically $52–$75
modeled estimate · not a bill or quote
Medicare pays $26 Fair price $67 Hospital's list price $117
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 | $27 - $100 | 102% |
| Blue Cross Blue Shieldmajor | $109 - $211 | 411% |
| Aetnamajor | $111 | 419% |
| Cignamajor | $61 - $111 | 230% |
| Humanamajor | $27 | 102% |
| GEHA | $100 | 378% |
| PacificSource | $82 - $111 | 310% |
| + 6 smaller / regional plans | $56 - $111 |