CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Ochsner Stennis Memorial Hospital

Billing Code: G0103 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0103
Insurance Median: $23
Cash Discount Price: $27
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Prostate cancer screening (blood test) at Ochsner Stennis Memorial Hospital is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $19.31, this hospital’s rate is 1.19x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$27

Average discount available for prompt cash payment at this facility.

Insurance Median

$23

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$19.31

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $19.31 (100%)

Cash / Self-Pay: $27 (140%)

Insurance Median: $23 (119%)

Cash: $27 (140% of Medicare)

Ins. Median: $23 (119% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $19.31 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$8 - $24	41%
Humana	$15 - $23	78%
Medicaid / KanCare	$17 - $19	88%
Cigna	$19 - $44	98%
Magnolia Health Plan – Wellcare By All Well of Mississippi	$19 - $24	98%
Medicare (plans)	$19 - $27	98%
Primewell Health Services Commercial Exchange Plan	$19 - $26	98%
Primewell Health Services – Commercial	$19 - $26	98%
Shared Health Mississippi	$20 - $25	104%
Prime Health Services PPO -Workers Comp	$21	109%
Blue Cross Blue Shield	$22 - $37	114%
Cor Vel	$22	114%
Prime Health Services PPO	$22 - $31	114%
Ambetter / Centene	$24 - $27	124%
Aetna	$25 - $35	129%
Select Administrative Services Network	$27 - $62	140%
Claritev D/B/A Multiplan/Phcs/American Life Care	$29 - $66	150%
Zelis	$29 - $36	150%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $27.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0103.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Stennis Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0103.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.