CMS Price Transparency Data

Colorectal cancer screening

Facility: Adventist Health Castle

Billing Code: G0010 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0010
Insurance Median: $33
Cash Discount Price: $11
vs. Medicare Baseline: 0.69x Medicare

The contracted insurance negotiated median rate for a Colorectal cancer screening at Adventist Health Castle is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 0.69x the Medicare baseline. Located in 640 Ulukahiki St, Kailua, HI.

Cash / Self-Pay

$11

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $11 (23%)

Insurance Median: $33 (69%)

Cash: $11 (23% of Medicare)

Ins. Median: $33 (69% 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.

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
Alohacare Quest McAid - All Other Plans	$9	19%
Pacific Admin PPO - All Plans	$22	46%
Hwmg/Hmaa - All Plans	$26	54%
Health Alliance - All Plans	$28	59%
Mdx Hawaii PPO - All Plans	$28	59%
Kfh - All Other Plans	$30	63%
Uni Health Alliance - All Plans	$33	69%
First Health PPO - All Plans	$33	69%
Medicaid / KanCare	$35	73%
UnitedHealthcare	$36	75%
Kfh McR Adv	$55	115%
Medicare (plans)	$55	115%
Ohana Health Plan - All Plans	$56	117%
Devoted Hlth McR Adv - All Plans	$58	121%
State of Hi Nonprofit - All Plans	$61	128%

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 $11.
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 Adventist Health Castle 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.