CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Salem Township Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$59
about 3.1× the $19 Medicare rate · typically $22–$89
modeled estimate · not a bill or quote
What this hospital charges insurers
$22
Below the fair price — a good deal
about $37 under the fair price · 1.2× Medicare
Medicare pays $19 Fair price $59 This hospital $22 Cash price $42 Hospital's list price $106

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $12 Priciest $22

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Prostate cancer screening (blood test) is about $59 (about 3.1× the $19 Medicare rate). Salem Township Hospital charges insurers about $22, or about $42 in cash — below the fair price — a good deal. Located in Salem, IL.

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 $23 - $84 119%
Blue Cross Blue Shieldmajor $22 114%
Government programs also on file: Medicare.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1201 Ricker Drive, Salem, IL 62881
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals