CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Mercy Health Lakeshore Campus

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$21
about 1.1× the $19 Medicare rate · typically $16–$42
modeled estimate · not a bill or quote
What this hospital charges insurers
$19
About the fair price
about $2 under the fair price · 1.0× Medicare
Medicare pays $19 Fair price $21 This hospital $19 Cash price $69 Hospital's list price $107

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

A typical price — 0 charge more and 4 charge less, among the 9 MI hospitals compared.

Cheapest $14 Priciest $19

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 $21 (about 1.1× the $19 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $19, or about $69 in cash — about the fair price. Located in Shelby, 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 $36 - $98 186%
Blue Cross Blue Shieldmajor $14 - $93 73%
Aetnamajor $19 - $87 98%
Cignamajor $90 - $95 466%
Humanamajor $93 - $98 482%
Kaiser Permanentemajor $89 - $93 461%
AmeriHealth $93 - $98 482%
CareSource $93 - $97 482%
Dean Health Plan $89 - $94 461%
GEHA $83 - $98 430%
Medical Mutual $93 - $98 482%
Molina $43 - $45 223%
MVP Health Care $89 - $94 461%
Oscar Health $32 - $33 166%
Paramount $89 - $94 461%
Priority Health $94 - $98 487%
UniCare $93 - $98 482%
+ 119 smaller / regional plans $18 - $98
Government programs also on file: Medicare, Medicaid.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 72 South State Street, Shelby, MI 49455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals