CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Elkhart General Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$23
about 1.2× the $19 Medicare rate · typically $19–$48
modeled estimate · not a bill or quote
What this hospital charges insurers
$19
Below the fair price — a good deal
about $4 under the fair price · 1.0× Medicare
Medicare pays $19 Fair price $23 This hospital $19

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

One of the lower prices — 0 of 8 other IN hospitals charge more for the same procedure.

Cheapest $12 Priciest $19

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

A fair price for a Prostate cancer screening (blood test) is about $23 (about 1.2× the $19 Medicare rate). Elkhart General Hospital charges insurers about $19 — below the fair price — a good deal. Located in Elkhart, IN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $10 - $19 52%
Blue Cross Blue Shieldmajor $16 - $37 83%
Aetnamajor $19 98%
Humanamajor $19 98%
CareSource $19 - $31 98%
Devoted Health $20 104%
+ 4 smaller / regional plans $10 - $29

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Facility Profile & Credentials

  • Address: 600 E Blvd, Elkhart, IN 46514
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals