CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Indiana University Health Tipton Hospital Inc

Billing Code: G0103 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$20
about 1.1× the $19 Medicare rate · typically $13–$53
modeled estimate · not a bill or quote
What this hospital charges insurers
$19
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $19 Fair price $20 This hospital $19 Cash price $40 Hospital's list price $106

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 $20 (about 1.1× the $19 Medicare rate). Indiana University Health Tipton Hospital Inc charges insurers about $19, or about $40 in cash — about the fair price. Located in Tipton, 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✓ Cigna HumanaKaiser 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 $19 98%
Blue Cross Blue Shieldmajor $11 - $42 57%
Aetnamajor $19 - $77 98%
Cignamajor $19 98%
CareSource $19 98%
Health Net $74 - $95 383%
+ 9 smaller / regional plans $19 - $98
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1000 S Main St, Tipton, IN 46072
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals