CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Newton Medical Center

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$20
about 1.1× the $19 Medicare rate · typically $20–$26
modeled estimate · not a bill or quote
What this hospital charges insurers
$20
About the fair price
1.1× Medicare
Medicare pays $19 Fair price $20 This hospital $20 Cash price $55 Hospital's list price $2,002

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $19 Priciest $20

Black dot = this hospital, among the 9 NJ 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). Newton Medical Center charges insurers about $20, or about $55 in cash — about the fair price. Located in Newton, NJ.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 98%
Blue Cross Blue Shieldmajor $15 - $473 78%
Aetnamajor $17 - $36 88%
Cignamajor $10 - $19 52%
Humanamajor $466 2413%
Kaiser Permanentemajor $383 1983%
Ambetter (Centene) $40 207%
AmeriHealth $20 - $459 104%
GEHA $19 98%
Harvard Pilgrim $19 98%
Health Net $32 - $592 166%
MagnaCare $32 - $557 166%
MVP Health Care $10 52%
Oscar Health $466 2413%
Tufts Health Plan $10 52%
UPMC Health Plan $21 109%
WellCare $21 109%
+ 79 smaller / regional plans $10 - $696
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 24 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 175 High St, Newton, NJ 07860
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals