CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Sanford Tracy Medical Center

Billing Code: G0103 (HCPCS)

No verified fair price for this procedure here

This hospital only published government or network rates for this billing code — not a standard commercial price — so we can’t show a verified fair-price comparison for it. What it charges each insurer is listed below; call the hospital’s billing office to confirm the actual charge.

modeled estimate · not a bill or quote

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✓ Cigna HumanaKaiser 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 $82 - $162 425%
Blue Cross Blue Shieldmajor $47 - $179 243%
Aetnamajor $82 - $169 425%
Cignamajor $175 906%
Health Net $175 906%
HealthPartners $82 - $155 425%
Medica $171 - $184 886%
Sanford Health Plan $76 - $180 394%
Security Health Plan $107 554%
UCare $81 - $170 419%
+ 2 smaller / regional plans $84 - $175
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 251 Fifth Street East, Tracy, MN 56175
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals