CMS Price Transparency Data

Colorectal cancer screening (alternative)

Facility: UNM Hospital

Billing Code: G0145 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0145
Insurance Median: $26
Cash Discount Price: $40
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Colorectal cancer screening (alternative) at UNM Hospital is $26. 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 0.98x the Medicare baseline. Located in 2211 Lomas Boulevard Ne, Albuquerque, NM.

Cash / Self-Pay

$40

Average discount available for prompt cash payment at this facility.

Insurance Median

$26

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: $26 (98%)

Cash: $40 (151% of Medicare)

Ins. Median: $26 (98% 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
Humana	$24	91%
Indian Health Abq	$26	98%
Alamo Navajo School Board	$26	98%
Blue Cross Blue Shield	$26	98%
Kewa Pueblo Health Corporation	$26	98%
Aetna	$26	98%
Pueblo of Isleta	$26	98%
Pueblo of Sandia	$26	98%
UnitedHealthcare	$26	98%
Pueblo of Jemez	$26	98%
Devoted Health	$32	121%
Christus	$40	151%
Albuquerque Public Schools	$53	200%
Presbyterian Network	$53	200%
Christus Health Exchange Plan	$60	227%
Imperial Health Exchange	$65	245%
Molina	$65	245%

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 UNM Hospital 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.