CMS Price Transparency Data

Colorectal cancer screening

Facility: St Luke's Sugar Land Hospital

Billing Code: G0010 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0010
  • Insurance Median: $68
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Colorectal cancer screening at St Luke's Sugar Land Hospital is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.42x the Medicare baseline. Located in 1317 Lake Pointe Parkway, Sugar Land, TX.
Cash / Self-Pay
$36

Average discount available for prompt cash payment at this facility.

Insurance Median
$68

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$47.84

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $47.84 (100%)
Cash / Self-Pay: $36 (75%)
Insurance Median: $68 (142%)
Cash: $36 (75% of Medicare)
Ins. Median: $68 (142% of 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.

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
UnitedHealthcare $28 - $86 59%
Renaissance $33 69%
Kelsey $36 75%
Tchpchip $36 - $45 75%
United $37 - $62 77%
Blue Cross Blue Shield $46 - $104 96%
Cigna $46 - $100 96%
Humana $46 - $68 96%
Selectcare $46 96%
Aetna $47 - $71 98%
Amerivantage $48 100%
Devoted $49 102%
Scanhealth $49 102%
Kindred $51 107%
Chc $57 119%
Texastruechoice $57 119%
Kelseycare $62 130%
Bright Health $67 140%
Coventry $68 142%
First Health $68 142%
Community Health Choice $69 144%
Superior Health Plan $69 144%
Wellpoint $69 144%
Healthsmart $73 153%
Interlink $73 153%
Multiplan $78 163%
USA Health Network $88 184%
Mhealth Network $104 217%
Nx Health $150 314%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1317 Lake Pointe Parkway, Sugar Land, TX 77478
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals