CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Little River Memorial Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$76
about 4.0× the $19 Medicare rate · typically $22–$101
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $76 Cash price $72 Hospital's list price $143

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $19 - $64 98%
Blue Cross Blue Shieldmajor $22 114%
Aetnamajor $76 394%
Humanamajor $130 673%
+ 1 smaller / regional plan $106

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 451 West Locke Street, Ashdown, AR 71822
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals