CMS Price Transparency Data

Colorectal cancer screening

Facility: Washakie Medical Center

Billing Code: G0010 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0010
Insurance Median: $103
Cash Discount Price: $27
vs. Medicare Baseline: 2.15x Medicare

The contracted insurance negotiated median rate for a Colorectal cancer screening at Washakie Medical Center is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 2.15x the Medicare baseline. Located in 400 South 15Th Street, Worland, WY.

Cash / Self-Pay

$27

Average discount available for prompt cash payment at this facility.

Insurance Median

$103

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: $27 (56%)

Insurance Median: $103 (215%)

Cash: $27 (56% of Medicare)

Ins. Median: $103 (215% 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 215% of the Medicare baseline (a markup of 115%). 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
UnitedHealthcare	$46 - $99	96%
Banner Health	$52	109%
Humana	$52	109%
Medica	$52 - $102	109%
Triwest Healthcare Alliance Corp - VA Ccn	$52	109%
Interwest Health	$53 - $106	111%
Prime Health Services	$53 - $106	111%
Blue Cross Blue Shield	$103	215%
First Choice Health Network	$103	215%
Hue Health, Inc	$103	215%
Imagine Health, LLC (Wka Wise Provider Network)	$103	215%
Mountain Health Cooperative (Co-Op)	$103	215%
Coventry	$104	217%
Cigna	$105	219%
Multiplan	$105	219%

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 $27.
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 Washakie Medical Center 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.