CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: Saint Anne's Hospital
Billing Code: G0103 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$34
about 1.8× the $19 Medicare rate · typically $22–$41
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $34 Cash price $80 Hospital's list price $80
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✓ Aetna CignaHumanaKaiser 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 | $20 - $21 | 104% |
| Blue Cross Blue Shieldmajor | $45 | 233% |
| Aetnamajor | $57 | 295% |
| Harvard Pilgrim | $125 | 647% |
| Tufts Health Plan | $53 | 274% |
| + 3 smaller / regional plans | $19 - $29 |
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Other Procedures at Saint Anne's Hospital
Compare: Prostate cancer screening (blood test) at other MA hospitals
- Boston Medical Center-Brighton · Brighton $19
- Good Samaritan Medical Center · Brockton $19
- Metrowest Medical Center · Framingham $19
- St Vincent Hospital · Worcester $19
- Boston Medical Center · Boston $20
- UMass Memorial Healthalliance Hospitals · Leominster $21
- UMass Memorial Health - Harrington Hospital · Southbridge $21
- Signature Healthcare Brockton Hospital · Brockton $24
Insurance negotiated median for the same procedure, sorted lowest first.