CMS Price Transparency Data

Colorectal cancer screening

Facility: St Mary Medical Center

Billing Code: G0010 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$40

about 0.8× the $48 Medicare rate · typically $27–$70

modeled estimate · not a bill or quote

What this hospital charges insurers

$40

About the fair price

0.8× Medicare

Medicare pays $48 Fair price $40 This hospital $40 Cash price $46 Hospital's list price $46

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 4 charge more and 4 charge less, among the 9 PA hospitals compared.

Cheapest $22 Priciest $41

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 is about $40 (about 0.8× the $48 Medicare rate). St Mary Medical Center charges insurers about $40, or about $46 in cash — about the fair price. Located in Langhorne, 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	$11 - $153	23%
Blue Cross Blue Shieldmajor	$34 - $136	71%
Aetnamajor	$8 - $268	17%
Cignamajor	$15 - $203	31%
Humanamajor	$34 - $41	71%
Ambetter (Centene)	$46 - $90	96%
Clover Health	$34	71%
GEHA	$12 - $153	25%
Health Net	$40	84%
HealthPartners	$35	73%
Meridian	$34	71%
Oscar Health	$46 - $91	96%
Presbyterian	$34	71%
UPMC Health Plan	$16 - $203	33%
WellMed	$34	71%
+ 224 smaller / regional plans	$9 - $114

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 15 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 46), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: G0010.

Insurance Before you use insurance

Call your insurance company to confirm St Mary Medical Center is in-network.
Ask your insurer whether prior approval is required for HCPCS code G0010.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Mary Medical Center

Compare: Colorectal cancer screening at other PA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.