CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Presbyterian Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$29
about 1.5× the $19 Medicare rate · typically $22–$33
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
About the fair price
about $1 over the fair price · 1.6× Medicare
Medicare pays $19 Fair price $29 This hospital $30 Cash price $106 Hospital's list price $151

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

Highest price of the 8 NM hospitals we have prices for — worth calling around.

Cheapest $20 Priciest $30

Black dot = this hospital, among the 8 NM hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Prostate cancer screening (blood test) is about $29 (about 1.5× the $19 Medicare rate). Presbyterian Hospital charges insurers about $30, or about $106 in cash — about the fair price. Located in Albuquerque, NM.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $17 88%
Blue Cross Blue Shieldmajor $20 - $34 104%
Aetnamajor $20 104%
Presbyterian $19 - $75 98%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1100 Central Avenue Se, Albuquerque, NM 87106
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals