CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Phillips County Hospital - Cah

Billing Code: G0103 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$34
about 1.8× the $19 Medicare rate · typically $14–$132
modeled estimate · not a bill or quote
What this hospital charges insurers
$15
Below the fair price — a good deal
about $19 under the fair price · 0.8× Medicare
Medicare pays $19 Fair price $34 This hospital $15 Cash price $158 Hospital's list price $158

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

Lowest price of the 6 MT hospitals we have prices for — a strong deal.

Cheapest $15 Priciest $31

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Prostate cancer screening (blood test) is about $34 (about 1.8× the $19 Medicare rate). Phillips County Hospital - Cah charges insurers about $15, or about $158 in cash — below the fair price — a good deal. Located in Malta, MT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $15 78%
Blue Cross Blue Shieldmajor $15 78%
Aetnamajor $15 78%
Cignamajor $15 78%
+ 2 smaller / regional plans $15
Government programs also on file: Medicare, Medicaid, Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

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

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Facility Profile & Credentials

  • Address: 311 S 8Th Ave E, Malta, MT 59538
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals