CMS Price Transparency Data

Colorectal cancer screening

Facility: Holy Cross Hospital - Salt Lake

Billing Code: G0010 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0010
Insurance Median: $112
Cash Discount Price: $88
vs. Medicare Baseline: 2.34x Medicare

The contracted insurance negotiated median rate for a Colorectal cancer screening at Holy Cross Hospital - Salt Lake is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 2.34x the Medicare baseline. Located in 1050 East South Temple, Salt Lake City, UT.

Cash / Self-Pay

$88

Average discount available for prompt cash payment at this facility.

Insurance Median

$112

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: $88 (184%)

Insurance Median: $112 (234%)

Cash: $88 (184% of Medicare)

Ins. Median: $112 (234% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 234% of the Medicare baseline (a markup of 134%). 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
Medicare (plans)	$47	98%
Humana	$47	98%
Health Choice	$48	100%
Denver Health	$48	100%
Medicaid / KanCare	$48	100%
Uuhp	$48 - $119	100%
Rocky Mountain Health Plan	$48	100%
Blue Cross Blue Shield	$54 - $132	113%
Employer Direct Healthcare	$59	123%
Motivhealth	$62	130%
Cigna	$79 - $176	165%
Pehp	$94 - $220	196%
Molina	$95 - $100	199%
Aetna	$97 - $186	203%
Centura Employee Plan	$110	230%
Wise	$115 - $117	240%
Deseret Mutual Benefit Administrators	$135	282%
Select Health	$146	305%
Multiplan	$152 - $201	318%
Emi Health	$220	460%

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 $88.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0010.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Holy Cross Hospital - Salt Lake is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0010.
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.