Prostate cancer screening (blood test)
Facility: Trinity Health Oakland Hospital
Billing Code: G0103 (HCPCS)
This hospital's typical commercial price is $20 compared to the $19 fair price benchmark.
2-Star CMS clinical quality rating paired with 1.05× fair market pricing.
Highest price of the 9 MI hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Prostate cancer screening (blood test) is about $19 (about 1.0× the $19 Medicare rate). Trinity Health Oakland Hospital charges insurers about $20, or about $66 in cash — about the fair price. Located in Pontiac, MI.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
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 | $20 - $76 | 104% |
| Blue Cross Blue Shieldmajor | $11 - $20 | 57% |
| Aetnamajor | $19 - $76 | 98% |
| Cignamajor | $75 | 388% |
| Humanamajor | $74 | 383% |
| Kaiser Permanentemajor | $20 | 104% |
| AmeriHealth | $74 | 383% |
| CareSource | $61 | 316% |
| Dean Health Plan | $69 | 357% |
| GEHA | $29 - $76 | 150% |
| Health Net | $101 | 523% |
| HealthPartners | $74 | 383% |
| MagnaCare | $74 | 383% |
| Medical Mutual | $29 | 150% |
| Molina | $25 | 129% |
| MVP Health Care | $69 | 357% |
| Paramount | $69 | 357% |
| Priority Health | $92 - $102 | 476% |
| Tufts Health Plan | $74 | 383% |
| UniCare | $74 | 383% |
| + 136 smaller / regional plans | $19 - $101 |
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.
Other Procedures at Trinity Health Oakland Hospital
Compare: Prostate cancer screening (blood test) at other MI hospitals
- Sparrow Ionia Hospital · Ionia $14
- Charlevoix Area Hospital · Charlevoix $15
- Harper University Hospital · Detroit $16
- Huron Valley-Sinai Hospital · Commerce Township $16
- St Joe Mercy Hospital System Livonia · Livonia $19
- Lake Huron Medical Center · Port Huron $19
- McLaren Bay Region · Bay City $19
- University of Michigan Health System · Ann Arbor $19
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Trinity Health Oakland Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $37
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $37).
Self-Pay Cash Rate ($66) Beats Your Bill
Trinity Health Oakland Hospital's published 45 CFR § 180 self-pay cash rate is $66 (vs. $20 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19 Fair BaseRate ($19 Medicare)
Your bill ($101) is $82 above the denoised Fair BaseRate ($19) and 5.3× the $19 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.