CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: Houlton Regional Hospital
Billing Code: G0103 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$40
about 2.1× the $19 Medicare rate · typically $20–$92
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $40 Cash price $176 Hospital's list price $185
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $176 | 911% |
| Blue Cross Blue Shieldmajor | $47 - $81 | 243% |
| Aetnamajor | $83 | 430% |
| Cignamajor | $168 | 870% |
| WellCare | $82 | 425% |
| + 2 smaller / regional plans | $94 - $163 |
Government programs also on file: Military & VA.
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Other Procedures at Houlton Regional Hospital
Compare: Prostate cancer screening (blood test) at other ME hospitals
- Central Maine Medical Center · Lewiston $19
- Cary Medical Center · Caribou $19
- Mainehealth Mid Coast Hospital · Brunswick $20
- Mainehealth Pen Bay Hospital · Rockport $20
- Mainehealth Maine Medical Center · Portland $26
- Mainehealth Franklin Hospital · Farmington $26
- Mainehealth Stephens Hospital · Norway $28
- Lincolnhealth · Damariscotta $30
Insurance negotiated median for the same procedure, sorted lowest first.