CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Sparta Community Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$22
about 1.2× the $19 Medicare rate · typically $17–$62
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $22 Cash price $226 Hospital's list price $226

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.

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 $39 - $226 202%
Blue Cross Blue Shieldmajor $16 - $51 83%
Aetnamajor $16 - $133 83%
Cignamajor $203 1051%
Humanamajor $162 839%
Molina $51 - $52 264%
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 818 E Broadway, Sparta, IL 62286
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals