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
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.
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Other Procedures at Sparta Community Hospital
Compare: Prostate cancer screening (blood test) at other IL hospitals
- St Francis Hospital · Litchfield $12
- University of Illinois Hospital and Clinics · Chicago $15
- Clay County Hospital · Flora $15
- Rochelle Community Hospital · Rochelle $16
- Kirby Medical Center · Monticello $17
- Carle Eureka Hospital · Eureka $17
- Carle Hoopeston Regional Health Center · Hoopeston $17
- Mc Donough District Hospital · Macomb $18
Insurance negotiated median for the same procedure, sorted lowest first.