CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: CHI Mercy Health
Billing Code: G0103 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$71
about 3.7× the $19 Medicare rate · typically $26–$134
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $71 Cash price $111 Hospital's list price $185
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $135 - $154 | 699% |
| Blue Cross Blue Shieldmajor | $20 - $80 | 104% |
| HealthPartners | $178 | 922% |
| Medica | $19 - $178 | 98% |
| Sanford Health Plan | $152 | 787% |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at CHI Mercy Health
Compare: Prostate cancer screening (blood test) at other ND hospitals
- Trinity Hospitals · Minot $19
- Essentia Health · Fargo $19
- PAM Rehabilitation Hospital of Fargo · Fargo $19
- Sanford Medical Center Fargo · Fargo $20
- Sanford Medical Center Bismarck · Bismarck $20
- Altru Hospital · Grand Forks $20
Insurance negotiated median for the same procedure, sorted lowest first.