CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: Lahey Hospital & Medical Center, Burlington
Billing Code: G0103 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$38
about 2.0× the $19 Medicare rate · typically $22–$44
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $38 Cash price $130 Hospital's list price $130
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
✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $36 - $46 | 186% |
| Aetnamajor | $19 | 98% |
| Cignamajor | $31 | 161% |
| Harvard Pilgrim | $60 | 311% |
| UniCare | $54 | 280% |
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Other Procedures at Lahey Hospital & Medical Center, Burlington
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.