CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: CHI St Alexius Health Dickinson

Billing Code: G0103 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$126
about 6.6× the $19 Medicare rate · typically $47–$184
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $126 Cash price $140 Hospital's list price $222

How we calculate the fair BaseRate →

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 $19 - $155 98%
Blue Cross Blue Shieldmajor $20 - $131 104%
HealthPartners $211 1093%
Medica $19 - $193 98%
Sanford Health Plan $175 906%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2500 Fairway Street, Dickinson, ND 58601
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals