CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Alaska Regional Hospital

Billing Code: G0103 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0103
Insurance Median: $231
Cash Discount Price: $404
vs. Medicare Baseline: 11.96x Medicare

The contracted insurance negotiated median rate for a Prostate cancer screening (blood test) at Alaska Regional Hospital is $231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $404. Compared to the federal Medicare reimbursement reference rate of $19.31, this hospital’s rate is 11.96x the Medicare baseline. Located in 2801 Debarr Road, Anchorage, AK.

Cash / Self-Pay

$404

Average discount available for prompt cash payment at this facility.

Insurance Median

$231

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$19.31

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $19.31 (100%)

Cash / Self-Pay: $404 (2092%)

Insurance Median: $231 (1196%)

Cash: $404 (2092% of Medicare)

Ins. Median: $231 (1196% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $19.31 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 1196% of the Medicare baseline (a markup of 1096%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Veteran's Administration	$19	98%
Triwest Healthcare Alliance	$19	98%
United	$20 - $305	104%
Veterans Evaluation Services	$24	124%
Aetna	$83 - $190	430%
Union Coalition	$119	616%
Union Coalition Cement Masons	$124	642%
Moda Health	$129 - $190	668%
Premerafirst	$200	1036%
Geha PPO USA	$209 - $354	1082%
Cigna	$219	1134%
Multiplan	$243 - $376	1258%
Coventry Healthcare	$255	1321%
First Health	$283	1466%
Nreca Group Benefit Trust	$303	1569%
Bering Strait School District	$303	1569%
Risk & Benefit Management	$303	1569%
Matanuska Telephone	$323	1673%
Banner Health	$323	1673%

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 $404.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0103.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Alaska Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0103.
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.