Colorectal cancer screening
Facility: Licking Memorial Hospital
Billing Code: G0010 (HCPCS)
- CPT Billing Code: G0010
- Insurance Median: $49
- Cash Discount Price: $60
- vs. Medicare Baseline: 1.02x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medical Mutual [100114] | $33 - $50 | 69% |
| Blue Cross Blue Shield | $39 - $52 | 82% |
| Medben [700068] | $42 - $59 | 88% |
| Tricare | $44 | 92% |
| Cigna | $45 - $54 | 94% |
| Medicare (plans) | $45 | 94% |
| Aetna | $45 - $50 | 94% |
| Veterans Administration [100068] | $45 | 94% |
| Wellcare By Allwell [450104] | $45 | 94% |
| Humana | $45 - $58 | 94% |
| Benicomp [70090] | $45 | 94% |
| Champva [500001] | $45 | 94% |
| UnitedHealthcare | $45 - $51 | 94% |
| Consociate Health [100029] | $48 | 100% |
| Consociate Health 6 Degrees [100059] | $48 | 100% |
| Gravie Administrative Services [100165] | $49 | 102% |
| Optima [700069] | $49 | 102% |
| Geha [100039] | $49 | 102% |
| Webtpa [100127] | $49 | 102% |
| Trustmark Small Business Benefits [100263] | $49 | 102% |
| Meritain [100063] | $49 | 102% |
| Allied Benefit Systems [100015] | $49 | 102% |
| Surest [100016] | $51 | 107% |
| Healthscope [100157] | $51 | 107% |
| United Medical Resources [700071] | $51 | 107% |
| Ohio Healthy [100255] | $54 | 113% |
| Coresource [100002] | $54 - $60 | 113% |
| Antidote Health Plan of Ohio [70006803] | $54 | 113% |
| National Association of Letter Carriers [100067] | $54 | 113% |
| Quality Care Partners [70006802] | $54 | 113% |
| The Health Plan [100261] | $54 | 113% |
| Ohio Healthy Luminare Health [100264] | $54 | 113% |
| American Postal Workers [100089] | $54 | 113% |
| Wellfleet Group, LLC [100164] | $54 | 113% |
| Ohio PPO Connect [70006801] | $54 | 113% |
| Great West Life [700064] | $54 | 113% |
| Osu Prime Care [100254] | $54 | 113% |
| Pan American Life [700070] | $56 | 117% |
| Coventry [100010] | $56 | 117% |
| Reliance Standard-Asrm [100258] | $58 | 121% |
| Carefactor [100087] | $58 | 121% |
| Administrative Concepts [100006] | $58 | 121% |
| Ohio Health Choice [100109] | $58 | 121% |
| Philadelphia American Life [100260] | $58 - $60 | 121% |
| Molina Marketplace [100106] | $72 | 151% |