CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: St Luke's Warren Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$21
about 1.1× the $19 Medicare rate · typically $18–$32
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $21 Cash price $400 Hospital's list price $444

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.

5 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 - $119 98%
Blue Cross Blue Shieldmajor $19 - $141 98%
Aetnamajor $20 - $67 104%
Cignamajor $121 627%
Humanamajor $20 104%
Geisinger $20 - $125 104%
Oscar Health $115 596%
UPMC Health Plan $20 - $122 104%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 185 Roseberry St, Phillipsburg, NJ 08865
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals