CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Inspira Medical Center Mullica Hill

Billing Code: G0103 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0103
Insurance Median: $19
Cash Discount Price: $62
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Prostate cancer screening (blood test) at Inspira Medical Center Mullica Hill is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $19.31, this hospital’s rate is 0.98x the Medicare baseline. Located in 501 West Front Street, Elmer, NJ.

Cash / Self-Pay

$62

Average discount available for prompt cash payment at this facility.

Insurance Median

$19

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$19.31

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $19.31 (100%)

Cash / Self-Pay: $62 (321%)

Insurance Median: $19 (98%)

Cash: $62 (321% of Medicare)

Ins. Median: $19 (98% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $19.31 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$11 - $85	57%
Aetna	$13 - $52	67%
Fidelis Care of Nj	$13	67%
Wellpoint	$13	67%
Blue Cross Blue Shield	$19 - $43	98%
Braven Health	$19	98%
Clover Health	$19	98%
Horizon Nj Total Care	$19	98%
Medicare (plans)	$19	98%
Wellcare Dual Liberty	$19	98%
Wellpoint Full Dual Advantage	$19	98%
Healthspring	$20	104%
Humana	$20	104%
Jefferson Health Plan	$21	109%
Cigna	$26	135%
Ambetter / Centene	$40	207%
Amerihealth	$43	223%
Horizon Nj Health	$53	274%
Oxford Health Plans	$85	440%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $62.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0103.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Inspira Medical Center Mullica Hill is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0103.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.