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

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✓ 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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Facility Profile & Credentials

  • Address: 201 Chestnut Hill Road, Stafford Springs, CT 06076
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals