Colorectal cancer screening
Facility: Physicians Care Surgical Hospital
Billing Code: G0010 (HCPCS)
- CPT Billing Code: G0010
- Insurance Median: $12,568
- Cash Discount Price: $5,662
- vs. Medicare Baseline: 262.71x 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 $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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 26271% of the Medicare baseline (a markup of 26171%). 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 |
|---|---|---|
| Connecticare | $42 - $19,575 | 88% |
| Lucent Health | $52 - $23,230 | 109% |
| Meritain Health | $52 - $23,230 | 109% |
| Ag Administrators | $52 - $23,230 | 109% |
| Premier Care Network | $52 - $23,230 | 109% |
| Geha | $52 - $23,230 | 109% |
| Healthez | $52 - $23,230 | 109% |
| Trustmark | $52 - $23,230 | 109% |
| Allied Benefits Systems | $52 - $23,230 | 109% |
| Marpai Health | $52 - $23,230 | 109% |
| Continental Benefits | $52 - $23,230 | 109% |
| Allied Benefit Systems | $52 - $23,230 | 109% |
| Ag Administrators Inc | $52 - $23,230 | 109% |
| Coventry | $52 - $23,230 | 109% |
| Aetna | $52 - $23,230 | 109% |
| Blue Cross Blue Shield | $84 - $23,941 | 176% |
| Highmark | $84 - $23,941 | 176% |
| Devon Health Services | $1,383 - $12,772 | 2891% |
| Tricare | $1,383 - $12,772 | 2891% |
| Shenandoah Life | $1,383 - $12,772 | 2891% |
| Pcsh Aarp | $1,383 - $12,772 | 2891% |
| Ibc Security 65 | $1,383 - $12,363 | 2891% |
| Unified Health Services | $1,383 - $12,772 | 2891% |
| Vibra Health Plan | $1,383 - $12,772 | 2891% |
| Humana | $1,383 - $12,772 | 2891% |
| Cigna | $1,383 - $18,977 | 2891% |
| Keystone 65 HMO | $1,383 - $12,772 | 2891% |
| Medicare (plans) | $1,383 - $12,772 | 2891% |
| Aarp | $1,383 - $12,772 | 2891% |
| Personal Choice 65 | $1,383 - $12,363 | 2891% |
| Gpm Health and Life Insurance Mc Supplement | $1,383 - $12,772 | 2891% |
| UnitedHealthcare | $1,383 - $27,099 | 2891% |
| Horizon of New Jersey | $1,494 - $18,753 | 3123% |
| Personal Choice | $1,494 - $18,753 | 3123% |
| Keystone HMO | $1,494 - $18,753 | 3123% |
| Amerihealth New Jersey HMO | $1,494 - $18,753 | 3123% |
| Independence Administrators | $1,494 - $18,753 | 3123% |
| Amerihealth Administrators | $1,494 - $18,753 | 3123% |
| Carefirst Administrators | $1,494 - $18,753 | 3123% |
| Ibc - Local | $1,494 - $18,753 | 3123% |
| Ibc Local | $1,494 - $18,753 | 3123% |
| Independence Federal | $1,494 - $18,753 | 3123% |
| Regence Blue Shield | $1,494 - $18,753 | 3123% |
| Ibc | $1,494 - $18,753 | 3123% |
| Keystone Healthplan East | $1,494 - $18,753 | 3123% |
| Pcsh Ibc | $1,494 - $18,753 | 3123% |
| Empire Plan | $1,494 - $18,753 | 3123% |
| Keystone Direct POS | $1,494 - $18,753 | 3123% |
| Ibc 2021 | $1,494 - $18,753 | 3123% |
| Independence Bc | $1,494 - $18,753 | 3123% |
| Keystone First Vip Choice | $2,850 | 5957% |
| PA Health and Wellness | $2,850 | 5957% |
| Medicaid / KanCare | $2,850 | 5957% |
| Keystone First Healthplan | $2,850 | 5957% |
| Keystone First | $2,850 | 5957% |
| Straight Access | $2,850 | 5957% |
| Golden Rule Op | $2,935 - $27,099 | 6135% |
| Allsavers | $2,935 - $27,099 | 6135% |
| Surest | $2,935 - $27,099 | 6135% |
| Oxford Life Insurance Company | $2,935 - $27,099 | 6135% |
| Oxford Health Plan | $2,935 - $27,099 | 6135% |
| Healthgram | $18,977 | 39668% |
| Health Partners | $18,977 | 39668% |
| Apwu | $18,977 | 39668% |
| Freedom Life Insurance Company | $18,977 | 39668% |
| Cwi Benefits | $18,977 | 39668% |
| Nalc Health | $18,977 | 39668% |
| Sana Benefits | $18,977 | 39668% |
| Loomis | $18,977 | 39668% |
| UPMC | $19,295 | 40332% |
| Central PA Teamsters | $21,231 | 44379% |