CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Tyler Holmes Memorial Hospital Cah

Billing Code: G0103 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$145
about 7.6× the $19 Medicare rate · typically $31–$211
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $145 Cash price $107 Hospital's list price $142

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 $84 435%
Blue Cross Blue Shieldmajor $114 590%
Cignamajor $71 368%
Molina $142 735%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 409 Tyler Holmes Drive, Winona, MS 38967
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals