CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Southeast Iowa Regional Medical Center

Billing Code: G0103 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$54
about 2.8× the $19 Medicare rate · typically $24–$81
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $54 Hospital's list price $205

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.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $44 - $115 228%
GEHA $191 989%
+ 4 smaller / regional plans $129 - $164
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 1221 South Gear Avenue, West Burlington, IA 52655
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals