CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: St James Hospital
Billing Code: G0103 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$66
about 3.5× the $19 Medicare rate · typically $38–$98
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $66 Hospital's list price $214
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 | $20 - $182 | 104% |
| Blue Cross Blue Shieldmajor | $147 - $214 | 761% |
| Aetnamajor | $203 | 1051% |
| Cignamajor | $112 - $203 | 580% |
| Humanamajor | $20 | 104% |
| GEHA | $182 | 943% |
| PacificSource | $150 - $203 | 777% |
| + 6 smaller / regional plans | $41 - $203 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at St James Hospital
Compare: Prostate cancer screening (blood test) at other MT hospitals
- Phillips County Hospital - Cah · Malta $15
- Roundup Memorial Healthcare · Roundup $19
- Central Montana Medical Center · Lewistown $25
- Logan Health Medical Center · Kalispell $28
- St Peters Health · Helena $29
- St. Patrick Hospital · Missoula $31
Insurance negotiated median for the same procedure, sorted lowest first.