CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: Upper Connecticut Valley Hospital
Billing Code: G0103 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$60
about 3.2× the $19 Medicare rate · typically $21–$93
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $60 Cash price $82 Hospital's list price $148
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 | $84 - $119 | 435% |
| Blue Cross Blue Shieldmajor | $76 - $126 | 394% |
| Aetnamajor | $81 | 419% |
| Cignamajor | $113 - $120 | 585% |
| Harvard Pilgrim | $119 | 616% |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Upper Connecticut Valley Hospital
Compare: Prostate cancer screening (blood test) at other NH hospitals
- New London Hospital · New London $19
- Mary Hitchcock Memorial Hospital · Lebanon $20
- Parkland Medical Center · Derry $20
- Cheshire Medical Center · Keene $20
- Portsmouth Regional Hospital · Portsmouth $20
- Northeast Rehabilitation Hospital Network · Salem $22
- Elliot Hospital · Manchester $27
- Frisbie Memorial Hospital · Rochester $27
Insurance negotiated median for the same procedure, sorted lowest first.