CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Cleveland Clinic Indian River Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$19
about 1.0× the $19 Medicare rate · typically $17–$25
modeled estimate · not a bill or quote
What this hospital charges insurers
$19
About the fair price
1.0× Medicare
Medicare pays $19 Fair price $19 This hospital $19 Cash price $46 Hospital's list price $70

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $17 Priciest $19

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Prostate cancer screening (blood test) is about $19 (about 1.0× the $19 Medicare rate). Cleveland Clinic Indian River Hospital charges insurers about $19, or about $46 in cash — about the fair price. Located in Vero Beach, FL.

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✓ Humana Kaiser 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 $12 - $19 62%
Blue Cross Blue Shieldmajor $19 - $20 98%
Aetnamajor $19 - $213 98%
Cignamajor $36 - $70 186%
Humanamajor $19 98%
AvMed $20 104%
Devoted Health $21 109%
WellCare $19 98%
WellMed $19 98%
+ 9 smaller / regional plans $19 - $52
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1000 36Th St, Vero Beach, FL 32960
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals