CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: Saint Alphonsus Regional Medical Center
Billing Code: G0103 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$39
about 2.1× the $19 Medicare rate · typically $23–$51
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $39 Cash price $49 Hospital's list price $76
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 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 | $19 - $76 | 98% |
| Blue Cross Blue Shieldmajor | $19 - $73 | 98% |
| Aetnamajor | $19 - $70 | 98% |
| Cignamajor | $75 | 388% |
| Humanamajor | $67 - $76 | 347% |
| Kaiser Permanentemajor | $73 | 378% |
| Dean Health Plan | $68 | 352% |
| GEHA | $68 - $70 | 352% |
| Health Net | $55 - $68 | 285% |
| Moda Health | $19 - $68 | 98% |
| Molina | $46 | 238% |
| PacificSource | $46 - $55 | 238% |
| Paramount | $68 | 352% |
| Priority Health | $75 | 388% |
| SelectHealth | $48 - $68 | 249% |
| + 42 smaller / regional plans | $20 - $75 |
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Saint Alphonsus Regional Medical Center
Compare: Prostate cancer screening (blood test) at other ID hospitals
- West Valley Medical Center · Caldwell $19
- Madison Memorial Hospital · Rexburg $19
- Mountain View Hospital · Idaho Falls $19
- St Luke's Nampa Medical Center · Nampa $19
- Idaho Falls Community Hospital, LLC · Idaho Falls $19
- Eastern Idaho Regional Medical Center · Idaho Falls $20
- Kootenai Health · Coeur D'Alene $20
- Grove Creek Medical Center · Blackfoot $29
Insurance negotiated median for the same procedure, sorted lowest first.