CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Keokuk County Health 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 $19–$111
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $54 Cash price $95 Hospital's list price $135

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $94 - $104 487%
Blue Cross Blue Shieldmajor $40 - $108 207%
Aetnamajor $104 - $115 539%
Humanamajor $104 539%
Molina $108 559%
WellCare $104 539%
+ 1 smaller / regional plan $108

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 23019 Highway 149, Sigourney, IA 52591
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals