Colorectal cancer screening (alternative)
Facility: Mercyone Oelwein Medical Center
Billing Code: G0145 (HCPCS)
- CPT Billing Code: G0145
- Insurance Median: $257
- Cash Discount Price: $182
- vs. Medicare Baseline: 9.70x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $26.49 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 970% of the Medicare baseline (a markup of 870%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Iowa Dept of Public Health | $26 | 98% |
| Medicare (plans) | $107 - $119 | 404% |
| Iowa Total Care | $109 | 411% |
| Medicaid / KanCare | $110 - $111 | 415% |
| Blue Cross Blue Shield | $114 | 430% |
| UnitedHealthcare | $122 - $199 | 461% |
| Aetna | $132 - $257 | 498% |
| Amish Hospital Aid | $153 | 578% |
| Centivo | $172 | 649% |
| Ambetter / Centene | $193 | 729% |
| Geha | $199 | 751% |
| Medical Associates | $206 | 778% |
| Health Choices | $206 | 778% |
| Claimdoc | $231 | 872% |
| Nova | $231 | 872% |
| Meritain | $257 | 970% |
| Christian Brother Services | $257 | 970% |
| Webtpa | $257 | 970% |
| Trustmark Small Business Benefits | $257 | 970% |
| Medical Mutual | $257 | 970% |
| First Health | $257 | 970% |
| Luminare Health | $257 | 970% |
| Allied Benefit Systems | $257 | 970% |
| Lucent Health | $257 | 970% |
| Asr Health Benefits | $257 | 970% |
| Coventry | $257 | 970% |
| 1199 National Benefit Fund | $257 | 970% |
| Health Partners | $269 | 1015% |
| Multiplan | $272 | 1027% |
| Cigna | $274 | 1034% |
| Midlands Choice | $274 | 1034% |
| Midlands | $274 | 1034% |
| Medica | $274 | 1034% |
| Auxiant | $274 | 1034% |
| Crime Victim Assistance | $280 | 1057% |