CMS Price Transparency Data

Colorectal cancer screening

Facility: Gadsden Regional Medical Center

Billing Code: G0010 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0010
  • Insurance Median: $62
  • Cash Discount Price: $77
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Colorectal cancer screening at Gadsden Regional Medical Center is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.30x the Medicare baseline. Located in 1007 Goodyear Avenue, Gadsden, AL.
Cash / Self-Pay
$77

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $77 (161%)
Insurance Median: $62 (130%)
Cash: $77 (161% of Medicare)
Ins. Median: $62 (130% 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 $32 - $77 67%
Blue Cross Blue Shield $41 86%
Humana $41 86%
Node Viva McR Adv $41 86%
Medicare (plans) $41 86%
Tricare $41 86%
Aetna $42 - $266 88%
Node Devoted Health McR Adv $42 88%
Node Clover Health McR Adv $42 88%
Amedisys Hospice $42 88%
Node Non Par Hospice Agree $42 88%
Node Select Health McR Adv $42 88%
Gadsden Hospice $42 88%
Node VA $42 88%
Cigna $42 - $247 88%
Southern Care Hospice $42 88%
Node Eon McR Adv $43 90%
Node Champva $43 90%
Node Wellcare McR Adv $43 90%
Prime Health $44 - $371 92%
Node Us Dept of Labor $52 109%
Self Pay $62 - $92 130%
Ambetter / Centene $63 132%
American Employee Alliance $205 429%
Multiplan $287 - $323 600%
Magellan Behavioral $308 644%
Viva Healthcare $308 644%
First Health $359 - $414 750%
Beech Street $375 - $1,525 784%
Alamed Wc $385 805%
Focus Health $393 821%
Coventry Work Comp Al $401 838%
Work Comp $436 911%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Goodyear Avenue, Gadsden, AL 35903
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals