CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Penobscot Valley Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$62
about 3.3× the $19 Medicare rate · typically $27–$81
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $62 Cash price $107 Hospital's list price $134

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.

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 $61 - $134 316%
Blue Cross Blue Shieldmajor $62 - $125 321%
Aetnamajor $62 - $161 321%
Cignamajor $124 - $158 642%
Humanamajor $61 - $78 316%
Harvard Pilgrim $126 - $161 653%
WellCare $61 - $78 316%
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 7 Transalpine Road, Po Box 368, Lincoln, ME 04457
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals