CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Story County Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$58
about 3.1× the $19 Medicare rate · typically $23–$108
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $58 Cash price $87 Hospital's list price $109

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 $66 - $109 342%
Blue Cross Blue Shieldmajor $66 - $109 342%
Aetnamajor $66 - $109 342%
Humanamajor $66 - $109 342%
HealthPartners $66 - $109 342%
Molina $81 - $109 419%
+ 1 smaller / regional plan $81 - $109

Self-Pay How to get the cash price

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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: 640 South 19Th Street, Nevada, IA 50201
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals