CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Trinity Health Oakland Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$19
about 1.0× the $19 Medicare rate · typically $17–$23
modeled estimate · not a bill or quote
What this hospital charges insurers
$20
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $19 Fair price $19 This hospital $20 Cash price $66 Hospital's list price $101

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $14 Priciest $20

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

⚠ 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

✓ 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 $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
Government programs also on file: Medicare, Medicaid.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 44405 Woodward Ave, Pontiac, MI 48341
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals