CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Metrohealth System

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$21
about 1.1× the $19 Medicare rate · typically $19–$26
modeled estimate · not a bill or quote
What this hospital charges insurers
$23
About the fair price
about $2 over the fair price · 1.2× Medicare
Medicare pays $19 Fair price $21 This hospital $23 Cash price $58 Hospital's list price $165

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $19 Priciest $23

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

A fair price for a Prostate cancer screening (blood test) is about $21 (about 1.1× the $19 Medicare rate). Metrohealth System charges insurers about $23, or about $58 in cash — about the fair price. Located in Cleveland, OH.

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 98%
Blue Cross Blue Shieldmajor $11 - $19 57%
Aetnamajor $29 - $35 150%
Cignamajor $41 212%
Humanamajor $19 98%
CareSource $27 140%
Medical Mutual $11 - $38 57%
+ 6 smaller / regional plans $20 - $50

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Facility Profile & Credentials

  • Address: 2500 Metrohealth Drive, Cleveland, OH 44109
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals