G0328

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous

Medicare pricing data for 10,608 providers across 52 states

🤖AI Overview

Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous (HCPCS code G0328) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.63, but hospitals typically charge $72.85 — a 4.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.53

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $17.63, your out-of-pocket cost would be approximately $3.53. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$17.63
Average Hospital Charge
$72.85
Markup Ratio
4.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$72.85
Medicare Allowed$17.63
Medicare Payment$17.63

Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $17.63 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Louisiana$18$41841,110+0.3%
Maine$18$3534137+0.3%
Minnesota$18$693674,422+0.3%
Nevada$18$100221,153+0.3%
New Hampshire$18$282295+0.3%
New Mexico$18$81451,485+0.3%
Vermont$18$2740155+0.3%
West Virginia$18$4675622+0.3%
Wisconsin$18$6731692+0.3%
Colorado$18$711142,299+0.3%
Idaho$18$2778375+0.3%
Illinois$18$822759,616+0.3%
Kansas$18$104933,818+0.3%
South Dakota$18$6154170+0.3%
Utah$18$60442,290+0.3%
Virginia$18$4928110,238+0.3%
California$18$9047577,426+0.3%
Massachusetts$18$962357,380+0.2%
New Jersey$18$8925421,652+0.2%
Ohio$18$623328,498+0.2%
Pennsylvania$18$771964,516+0.2%
Wyoming$18$401489+0.2%
Georgia$18$5450310,199+0.2%
Tennessee$18$455705,730+0.2%
Florida$18$7796447,976+0.1%
Kentucky$18$42120892+0.1%
Maryland$18$661375,806+0.1%
North Carolina$18$8658215,533+0.1%
Oklahoma$18$66924,337+0.1%
Iowa$18$521188760.0%
Missouri$18$461801,6320.0%
Oregon$18$462575,6330.0%
District of Columbia$18$4815612-0.1%
Hawaii$18$59183,242-0.2%
Arizona$18$6620214,169-0.2%
Texas$18$7484224,173-0.3%
Arkansas$18$361772,088-0.3%
Indiana$18$432482,322-0.4%
Alabama$18$441997,051-0.5%
Alaska$18$7443205-0.5%
New York$18$5051611,157-0.6%
North Dakota$18$6022105-0.6%
Mississippi$18$271392,502-0.7%
Michigan$18$332697,144-0.7%
Washington$18$7644712,426-0.7%
Delaware$17$4432119-1.0%
Rhode Island$17$4224358-1.2%
South Carolina$17$382613,103-1.2%
Connecticut$17$391402,313-2.4%
Puerto Rico$17$181141,090-3.6%
Montana$17$3868680-4.2%
Nebraska$16$38133586-8.9%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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