CMS Price Transparency Data

Colorectal cancer screening

Facility: St Joseph's Hospital

Billing Code: G0010 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0010
  • Insurance Median: $82
  • Cash Discount Price: $87
  • vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a Colorectal cancer screening at St Joseph's Hospital is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.71x the Medicare baseline. Located in 12866 Troxler Avenue, Highland, IL.
Cash / Self-Pay
$87

Average discount available for prompt cash payment at this facility.

Insurance Median
$82

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: $87 (182%)
Insurance Median: $82 (171%)
Cash: $87 (182% of Medicare)
Ins. Median: $82 (171% 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
Clear Spring Health of Illinois $24 50%
Sae Hospice $24 50%
Blue Cross Blue Shield $24 50%
Molina Healthcare $24 - $78 50%
Humana $24 50%
Aetna $24 - $85 50%
Amish Community $34 71%
UnitedHealthcare $48 - $121 100%
Naphcare $51 107%
Celtic Insurance Company $53 111%
Claim Doc $60 125%
Hopetrust $60 125%
Caterpillar, Inc. $63 132%
Wellfirst $77 161%
Cigna $81 169%
Meridian Health Plan $82 171%
First Health $89 186%
Healthlink $103 215%
Multiplan/Phcs $103 215%
Provider Network of America $109 228%
Healthcare Finest Network (Hfn) $109 228%
Current Health Solutions $121 253%
Health Alliance Medical Plans $121 253%
Healthscope $121 253%
Mental Health Network $121 253%
Consociate Group $121 253%
Illinois Breast and Cervical Cancer Program $121 253%
Qtc Medical Group of Illinois $121 253%
Interplan $121 253%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12866 Troxler Avenue, Highland, IL 62249
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals