CMS Price Transparency Data

Colorectal cancer screening (alternative)

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: G0145 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0145
Insurance Median: $144
Cash Discount Price: $451
vs. Medicare Baseline: 5.44x Medicare

The contracted insurance negotiated median rate for a Colorectal cancer screening (alternative) at Memorial Hospital for Cancer and Allied Diseases is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $451. Compared to the federal Medicare reimbursement reference rate of $26.49, this hospital’s rate is 5.44x the Medicare baseline. Located in 1275 York Ave, New York, NY.

Cash / Self-Pay

$451

Average discount available for prompt cash payment at this facility.

Insurance Median

$144

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$26.49

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $26.49 (100%)

Cash / Self-Pay: $451 (1703%)

Insurance Median: $144 (544%)

Cash: $451 (1703% of Medicare)

Ins. Median: $144 (544% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $26.49 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 544% of the Medicare baseline (a markup of 444%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Emblem	$39 - $254	147%
Healthfirst	$79 - $271	298%
Fidelis	$88 - $106	332%
Cigna	$92	347%
Oxford	$106	400%
UnitedHealthcare	$106	400%
Aetna	$136 - $167	513%
Empire	$182 - $228	687%
Magnacare	$289 - $361	1091%
Metroplus	$293	1106%
Urn	$320	1208%
6 Degrees Health	$352	1329%
Multiplan	$406	1533%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $451.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0145.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Memorial Hospital for Cancer and Allied Diseases is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0145.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.