CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: Valor Health
Billing Code: G0103 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$48
about 2.5× the $19 Medicare rate · typically $20–$66
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $48 Cash price $82 Hospital's list price $86
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 | $17 - $79 | 88% |
| Blue Cross Blue Shieldmajor | $40 - $84 | 207% |
| Aetnamajor | $40 - $72 | 207% |
| Cignamajor | $78 - $79 | 404% |
| Humanamajor | $40 - $84 | 207% |
| Moda Health | $82 | 425% |
| Molina | $40 | 207% |
| PacificSource | $17 - $42 | 88% |
| SelectHealth | $82 | 425% |
Government programs also on file: Military & VA.
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Other Procedures at Valor Health
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.