CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Mainehealth Pen Bay Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$21
about 1.1× the $19 Medicare rate · typically $20–$27
modeled estimate · not a bill or quote
What this hospital charges insurers
$20
About the fair price
about $1 under the fair price · 1.1× Medicare
Medicare pays $19 Fair price $21 This hospital $20 Cash price $41 Hospital's list price $41

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

One of the lower prices — 5 of 8 other ME hospitals charge more for the same procedure.

Cheapest $19 Priciest $34

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

A fair price for a Prostate cancer screening (blood test) is about $21 (about 1.1× the $19 Medicare rate). Mainehealth Pen Bay Hospital charges insurers about $20, or about $41 in cash — about the fair price. Located in Rockport, ME.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $18 - $38 93%
Blue Cross Blue Shieldmajor $19 - $85 98%
Aetnamajor $19 - $36 98%
Cignamajor $32 166%
Humanamajor $18 - $19 93%
Harvard Pilgrim $30 - $35 155%
WellCare $19 - $20 98%
+ 1 smaller / regional plan $33 - $41
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: 6 Glen Cove Drive, Rockport, ME 04856
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals