CMS Price Transparency Data

Colorectal cancer screening (alternative)

Facility: UPMC Bedford Memorial

Billing Code: G0145 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$28
about 1.1× the $26 Medicare rate · typically $27–$37
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $26 Fair price $28 This hospital $29 Cash price $78 Hospital's list price $130

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $24 Priciest $29

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Colorectal cancer screening (alternative) is about $28 (about 1.1× the $26 Medicare rate). UPMC Bedford Memorial charges insurers about $29, or about $78 in cash — about the fair price. Located in Everett, PA.

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 $28 - $87 106%
Blue Cross Blue Shieldmajor $26 - $242 98%
Aetnamajor $10 - $87 38%
Cignamajor $29 - $87 109%
Humanamajor $117 442%
AmeriHealth $29 109%
Geisinger $72 272%
UPMC Health Plan $23 - $144 87%
+ 5 smaller / regional plans $29 - $117
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 10455 Lincoln Highway, Everett, PA 15537
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals