Prostate cancer screening (blood test)
Facility: St Francis Hospital & Medical Center
Billing Code: G0103 (HCPCS)
- CPT Billing Code: G0103
- Insurance Median: $24
- Cash Discount Price: $69
- vs. Medicare Baseline: 1.24x 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 $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.
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 |
|---|---|---|
| Blue Cross Blue Shield | $17 - $22 | 88% |
| Connecticut Dept of Correction | $18 | 93% |
| Aetna | $19 - $26 | 98% |
| Cca Senior Care Options | $19 | 98% |
| UnitedHealthcare | $19 | 98% |
| Medicare (plans) | $19 - $20 | 98% |
| Geha | $19 | 98% |
| Cigna | $19 - $101 | 98% |
| Harvard Pilgrim Healthcare | $19 | 98% |
| Blue Shield - Ca | $22 | 114% |
| Blue Shield - Wa (Regence) | $22 | 114% |
| Health Choices | $22 | 114% |
| Blue Care Network | $22 | 114% |
| Blue Distinction Transplant | $22 | 114% |
| Unicare | $22 | 114% |
| Kaiser Domestic | $22 | 114% |
| Blue Benefit Administrators of Massachusetts | $22 | 114% |
| Wc Domestic | $22 | 114% |
| Bcn Domestic | $22 | 114% |
| Blue Shield - PA (Highmark) | $22 | 114% |
| Wellpoint | $22 | 114% |
| Pre-Employment | $22 | 114% |
| Blue Shield - Ny Highmark Northeastern | $22 | 114% |
| Blue Shield - Ny Highmark Western | $22 | 114% |
| Blue Shield - Id (Regence) | $22 | 114% |
| Centivo | $24 | 124% |
| Magnacare | $24 | 124% |
| Health Partners | $24 | 124% |
| Allegiance | $24 | 124% |
| Fallon Health | $25 | 129% |
| Webtpa | $26 | 135% |
| Meritain | $26 | 135% |
| Luminare Health | $26 | 135% |
| Hap | $26 | 135% |
| Nippon Life Ins | $26 | 135% |
| Connecticare | $26 - $31 | 135% |
| 1199 National Benefit Fund | $26 | 135% |
| Allied Benefit Systems | $26 | 135% |
| Gravie Admin Services | $26 | 135% |
| Innovative Health Plan II | $41 | 212% |
| Health New England | $70 | 363% |
| Ghc Scw | $86 | 445% |
| Asrm - Reliance Standard Life Insurance | $86 | 445% |
| Pai | $86 | 445% |
| Paramount HMO | $86 | 445% |
| Pan-American Life | $86 | 445% |
| Medi Share | $86 | 445% |
| Manhattan Life | $86 | 445% |
| Allied National Global Care | $86 | 445% |
| Lifetime Benefit Solutions | $86 | 445% |
| Trinity Health Share | $86 | 445% |
| Family Life Insurance Company | $86 | 445% |
| Mvp | $86 | 445% |
| Christian Care Ministry | $86 | 445% |
| PHCS | $86 | 445% |
| Dean Health | $86 | 445% |
| International Benefit Administrators | $86 | 445% |
| Multiplan | $86 | 445% |
| Prime Health Services | $88 | 456% |
| Health Smart | $107 | 554% |