Prostate cancer screening (blood test)
Facility: Saint Mary's Hospital
Billing Code: G0103 (HCPCS)
- CPT Billing Code: G0103
- Insurance Median: $35
- Cash Discount Price: $83
- vs. Medicare Baseline: 1.81x 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 - $35 | 98% |
| Geha | $19 | 98% |
| Cigna | $19 - $120 | 98% |
| Medicare (plans) | $19 - $20 | 98% |
| Cca Senior Care Options | $19 | 98% |
| UnitedHealthcare | $19 - $150 | 98% |
| Harvard Pilgrim Healthcare | $19 | 98% |
| Connecticare | $21 - $22 | 109% |
| Blue Distinction Transplant | $22 | 114% |
| Blue Shield - PA (Highmark) | $22 | 114% |
| Wellpoint | $22 | 114% |
| Blue Shield - Ny Highmark Western | $22 | 114% |
| Blue Care Network | $22 | 114% |
| Unicare | $22 | 114% |
| Kaiser Domestic | $22 | 114% |
| Wc Domestic | $22 | 114% |
| Blue Shield - Id (Regence) | $22 | 114% |
| Blue Shield - Ny Highmark Northeastern | $22 | 114% |
| Health Choices | $22 | 114% |
| Pre-Employment | $22 | 114% |
| Bcn Domestic | $22 | 114% |
| Blue Shield - Ca | $22 | 114% |
| Blue Benefit Administrators of Massachusetts | $22 | 114% |
| Blue Shield - Wa (Regence) | $22 | 114% |
| Centivo | $24 | 124% |
| 1199 National Benefit Fund | $35 | 181% |
| Nippon Life Ins | $35 | 181% |
| Gravie Admin Services | $35 | 181% |
| Hap | $35 | 181% |
| Webtpa | $35 | 181% |
| Meritain | $35 | 181% |
| Allied Benefit Systems | $35 | 181% |
| Luminare Health | $35 | 181% |
| Magnacare | $37 | 192% |
| Health Partners | $37 | 192% |
| Allegiance | $37 | 192% |
| Innovative Health Plan II | $41 | 212% |
| Claimdoc | $41 | 212% |
| Diversified Administrators | $41 | 212% |
| Carelon Behavioral Health | $75 | 388% |
| Health New England | $80 | 414% |
| Allied National Global Care | $116 | 601% |
| Family Life Insurance Company | $116 | 601% |
| Paramount HMO | $116 | 601% |
| Multiplan | $116 | 601% |
| Medi Share | $116 | 601% |
| Trinity Health Share | $116 | 601% |
| PHCS | $116 | 601% |
| Pan-American Life | $116 | 601% |
| Manhattan Life | $116 | 601% |
| International Benefit Administrators | $116 | 601% |
| Ghc Scw | $116 | 601% |
| Mvp | $116 | 601% |
| Asrm - Reliance Standard Life Insurance | $116 | 601% |
| Pai | $116 | 601% |
| Lifetime Benefit Solutions | $116 | 601% |
| Dean Health | $116 | 601% |
| Fallon Health | $116 | 601% |
| Christian Care Ministry | $116 | 601% |
| Prime Health Services | $120 | 621% |
| Health Smart | $128 | 663% |
| United Behavioral Health Eap | $150 | 777% |