CMS Price Transparency Data

Colorectal cancer screening (alternative)

Facility: Memorial Hospital Biloxi

Billing Code: G0145 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0145
Insurance Median: $27
Cash Discount Price: $40
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a Colorectal cancer screening (alternative) at Memorial Hospital Biloxi is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $26.49, this hospital’s rate is 1.02x the Medicare baseline. Located in 150 Reynoir Street, Biloxi, MS.

Cash / Self-Pay

$40

Average discount available for prompt cash payment at this facility.

Insurance Median

$27

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$26.49

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $26.49 (100%)

Cash / Self-Pay: $40 (151%)

Insurance Median: $27 (102%)

Cash: $40 (151% of Medicare)

Ins. Median: $27 (102% of 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.

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
Sas Mhg	$6 - $46	23%
Devoted Health	$12 - $22	45%
Molina	$14 - $145	53%
Fox Everett	$16 - $30	60%
Sas Non-Mhg	$16 - $30	60%
Mhg	$19 - $38	72%
Cigna	$19 - $52	72%
Aetna	$19 - $38	72%
First Choice	$19 - $54	72%
UnitedHealthcare	$24	91%
Magnolia Health	$24 - $42	91%
First Health	$28 - $54	106%
Humana	$28 - $54	106%
Mpcn	$29 - $56	109%

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 $40.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0145.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Memorial Hospital Biloxi is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0145.
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.