Prostate cancer screening (blood test)
Facility: Trinity Health Muskegon Hospital
Billing Code: G0103 (HCPCS)
This hospital's typical commercial price is $25 compared to the $24 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.04× 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.
A fair price for a Prostate cancer screening (blood test) is about $24 (about 1.3× the $19 Medicare rate). Trinity Health Muskegon Hospital charges insurers about $25, or about $69 in cash — about the fair price. Located in Muskegon, 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 - $96 | 104% |
| Blue Cross Blue Shieldmajor | $11 - $25 | 57% |
| Aetnamajor | $19 - $46 | 98% |
| Cignamajor | $65 - $69 | 337% |
| Humanamajor | $82 - $86 | 425% |
| Kaiser Permanentemajor | $25 | 129% |
| AmeriHealth | $82 - $86 | 425% |
| CareSource | $65 - $69 | 337% |
| Dean Health Plan | $78 - $82 | 404% |
| GEHA | $29 - $96 | 150% |
| Medical Mutual | $82 - $86 | 425% |
| Molina | $25 | 129% |
| MVP Health Care | $78 - $82 | 404% |
| Oscar Health | $19 | 98% |
| Paramount | $78 - $82 | 404% |
| Priority Health | $96 - $107 | 497% |
| UniCare | $82 - $86 | 425% |
| + 139 smaller / regional plans | $14 - $109 |
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 Muskegon 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 Muskegon Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $39
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 = $39).
Self-Pay Cash Rate ($69) Beats Your Bill
Trinity Health Muskegon Hospital's published 45 CFR § 180 self-pay cash rate is $69 (vs. $25 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $24 Fair BaseRate ($19 Medicare)
Your bill ($107) is $83 above the denoised Fair BaseRate ($24) and 5.6× 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.