CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: SSM St Joseph Health Center
Billing Code: G0103 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$31
about 1.6× the $19 Medicare rate · typically $20–$39
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $31 Cash price $63 Hospital's list price $114
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 | $19 - $20 | 98% |
| Blue Cross Blue Shieldmajor | $20 - $144 | 104% |
| Aetnamajor | $20 | 104% |
| Cignamajor | $33 | 171% |
| Humanamajor | $20 | 104% |
| HealthLink | $76 | 394% |
| Oscar Health | $19 - $23 | 98% |
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Other Procedures at SSM St Joseph Health Center
Compare: Prostate cancer screening (blood test) at other MO hospitals
- Cedar County Memorial Hospital · El Dorado Springs $17
- Saint Francis Medical Center · Cape Girardeau $18
- Research Medical Center · Kansas City $19
- Bates County Memorial Hospital · Butler $19
- Mercy Hospital Lebanon · Lebanon $19
- Centerpoint Medical Center · Independence $19
- Golden Valley Memorial Hospital · Clinton $19
- Lee's Summit Medical Center · Lees Summit $19
Insurance negotiated median for the same procedure, sorted lowest first.