CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: Johnson Memorial Hospital
Billing Code: G0103 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$25
about 1.3× the $19 Medicare rate · typically $19–$44
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $25 Cash price $86 Hospital's list price $157
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✓ Cigna✓ Kaiser Permanente Humana
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 - $157 | 98% |
| Blue Cross Blue Shieldmajor | $19 - $39 | 98% |
| Aetnamajor | $19 - $39 | 98% |
| Cignamajor | $19 - $122 | 98% |
| Kaiser Permanentemajor | $39 | 202% |
| Dean Health Plan | $130 | 673% |
| GEHA | $19 | 98% |
| Harvard Pilgrim | $19 | 98% |
| HealthPartners | $111 | 575% |
| MagnaCare | $111 | 575% |
| MVP Health Care | $130 | 673% |
| Paramount | $130 | 673% |
| UniCare | $39 | 202% |
| + 33 smaller / regional plans | $18 - $133 |
Government programs also on file: Medicare.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Johnson Memorial Hospital
Compare: Prostate cancer screening (blood test) at other CT hospitals
- John Dempsey Hospital of the University of Connect · Farmington $19
- Gaylord Hospital · Wallingford $19
- St Francis Hospital & Medical Center · Hartford $22
- Saint Mary's Hospital · Waterbury $22
- Bristol Hospital · Bristol $23
- Mount Sinai Rehabilitation Hospital Inc · Hartford $26
- Griffin Hospital · Derby $35
Insurance negotiated median for the same procedure, sorted lowest first.