CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: St. Patrick Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$29
about 1.5× the $19 Medicare rate · typically $22–$31
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
About the fair price
about $2 over the fair price · 1.6× Medicare
Medicare pays $19 Fair price $29 This hospital $31

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

Highest price of the 6 MT hospitals we have prices for — worth calling around.

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 $29 (about 1.5× the $19 Medicare rate). St. Patrick Hospital charges insurers about $31 — about the fair price. Located in Missoula, MT.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser 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
Blue Cross Blue Shieldmajor $20 104%
Humanamajor $20 104%
PacificSource $20 - $24 104%
+ 2 smaller / regional plans $38 - $60

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 500 W Broadway, Missoula, MT 59802
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals