CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Ballard Rehabilitation Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$50
about 2.6× the $19 Medicare rate · typically $20–$184
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $50 Hospital's list price $235

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana✓ Kaiser Permanente Cigna

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 $235 1217%
Blue Cross Blue Shieldmajor $79 - $235 409%
Aetnamajor $235 1217%
Humanamajor $79 - $235 409%
Kaiser Permanentemajor $235 1217%
Health Net $235 1217%
+ 6 smaller / regional plans $235
Government programs also on file: Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 1760 W 16Th St, San Bernardino, CA 92411
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL