CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: Orange City Area Health System
Billing Code: G0103 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$47
about 2.5× the $19 Medicare rate · typically $20–$85
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $47 Cash price $91 Hospital's list price $114
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $103 | 533% |
| Blue Cross Blue Shieldmajor | $46 | 238% |
| HealthPartners | $103 | 533% |
| Sanford Health Plan | $108 | 559% |
| + 1 smaller / regional plan | $111 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Orange City Area Health System
Compare: Prostate cancer screening (blood test) at other IA hospitals
- Horn Memorial Hospital · Ida Grove $12
- Monroe County Hospital · Albia $13
- Veterans Memorial Hospital · Waukon $16
- Mary Greeley Medical Center · Ames $19
- Genesis Medical Center-Davenport · Davenport $19
- Van Buren County Hospital · Keosauqua $19
- Clarke County Hospital · Osceola $19
- Unitypoint Health - Marshalltown · Marshalltown $20
Insurance negotiated median for the same procedure, sorted lowest first.