CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Redington Fairview General Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$49
about 2.6× the $19 Medicare rate · typically $21–$144
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $49 Cash price $78 Hospital's list price $112

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $112 580%
Blue Cross Blue Shieldmajor $112 580%
Aetnamajor $112 580%
Humanamajor $112 580%
+ 2 smaller / regional plans $112

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 46 Fairview Ave Po Box 468, Skowhegan, ME 04976
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals