CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Grisell Memorial Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$85
about 4.5× the $19 Medicare rate · typically $21–$132
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $85 Cash price $143 Hospital's list price $151

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $28 - $116 145%
Blue Cross Blue Shieldmajor $66 342%
Humanamajor $145 - $156 751%
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 210 South Vermont Avenue, Ransom, KS 67572
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals