CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Kaleida Health

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$22
about 1.2× the $19 Medicare rate · typically $20–$23
modeled estimate · not a bill or quote
What this hospital charges insurers
$21
About the fair price
about $1 under the fair price · 1.1× Medicare
Medicare pays $19 Fair price $22 This hospital $21

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $17 Priciest $21

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Prostate cancer screening (blood test) is about $22 (about 1.2× the $19 Medicare rate). Kaleida Health charges insurers about $21 — about the fair price. Located in Buffalo, NY.

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 $21 109%
Blue Cross Blue Shieldmajor $13 - $72 67%
Aetnamajor $20 - $22 104%
Cignamajor $17 - $27 88%
Fidelis Care $21 109%
Independent Health $11 - $31 57%
MagnaCare $22 114%
WellCare $20 104%
+ 4 smaller / regional plans $19 - $27
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 100 High Street, Buffalo, NY 14210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals