CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: Tidalhealth Nanticoke, Inc.
Billing Code: G0103 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$47
about 2.5× the $19 Medicare rate · typically $24–$60
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $47 Cash price $61 Hospital's list price $61
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente
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 | $48 | 249% |
| Blue Cross Blue Shieldmajor | $51 | 264% |
| Aetnamajor | $57 | 295% |
| Cignamajor | $43 | 223% |
| AmeriHealth | $19 | 98% |
| + 2 smaller / regional plans | $54 |
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Other Procedures at Tidalhealth Nanticoke, Inc.
Compare: Prostate cancer screening (blood test) at other DE hospitals
- Christiana Hospital · Newark $21
- Bayhealth Medical Center, Kent Campus · Dover $29
- Bayhealth Hospital, Sussex Campus · Milford $29
Insurance negotiated median for the same procedure, sorted lowest first.