CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Wakemed, Raleigh Campus

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$20
about 1.1× the $19 Medicare rate · typically $19–$21
modeled estimate · not a bill or quote
What this hospital charges insurers
$19
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $19 Fair price $20 This hospital $19

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

One of the lower prices — 3 of 8 other NC hospitals charge more for the same procedure.

Cheapest $17 Priciest $20

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

A fair price for a Prostate cancer screening (blood test) is about $20 (about 1.1× the $19 Medicare rate). Wakemed, Raleigh Campus charges insurers about $19 — about the fair price. Located in Raleigh, NC.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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 $19 - $47 98%
Aetnamajor $19 98%
Cignamajor $14 - $15 73%
Ambetter (Centene) $28 145%
WellCare $19 98%
+ 3 smaller / regional plans $20
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3000 New Bern Ave, Raleigh, NC 27610
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals