CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: Samaritan Hospital of Troy, New York
Billing Code: G0103 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$30
about 1.6× the $19 Medicare rate · typically $20–$56
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $30 Cash price $66 Hospital's list price $102
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 | $14 - $102 | 73% |
| Blue Cross Blue Shieldmajor | $19 - $102 | 98% |
| Aetnamajor | $20 - $63 | 104% |
| Cignamajor | $46 | 238% |
| Fidelis Care | $35 | 181% |
| GEHA | $63 | 326% |
| Harvard Pilgrim | $48 | 249% |
| HealthPartners | $46 | 238% |
| Independent Health | $87 | 451% |
| MagnaCare | $87 | 451% |
| Medical Mutual | $63 | 326% |
| MVP Health Care | $21 | 109% |
| Priority Health | $46 | 238% |
| Tufts Health Plan | $46 | 238% |
| UniCare | $50 | 259% |
| + 22 smaller / regional plans | $18 - $102 |
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Samaritan Hospital of Troy, New York
Compare: Prostate cancer screening (blood test) at other NY hospitals
- Nassau University Medical Center · East Meadow $17
- United Memorial Medical Center · Batavia $18
- Richmond University Medical Center · Staten Island $19
- Geneva General Hospital · Geneva $19
- F F Thompson Hospital · Canandaigua $19
- Adirondack Medical Center - Saranac Lake · Saranac Lake $19
- Arnot Ogden Medical Center · Elmira $19
- Columbia Memorial Hospital · Hudson $19
Insurance negotiated median for the same procedure, sorted lowest first.