CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: St Peters Health

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$28
about 1.5× the $19 Medicare rate · typically $20–$36
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
About the fair price
about $1 over the fair price · 1.5× Medicare
Medicare pays $19 Fair price $28 This hospital $29 Cash price $40 Hospital's list price $47

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

On the higher side — 4 of 5 other MT hospitals charge less.

Cheapest $15 Priciest $31

Black dot = this hospital, among the 6 MT hospitals with a price for this procedure. Full list below.

A fair price for a Prostate cancer screening (blood test) is about $28 (about 1.5× the $19 Medicare rate). St Peters Health charges insurers about $29, or about $40 in cash — about the fair price. Located in Helena, MT.

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✓ Humana AetnaCignaKaiser 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 $31 161%
Blue Cross Blue Shieldmajor $19 - $44 98%
Humanamajor $13 - $20 67%
PacificSource $55 285%
+ 1 smaller / regional plan $38

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Facility Profile & Credentials

  • Address: 2475 Broadway, Helena, MT 59601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals