CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Upper Valley Medical Center

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$23
about 1.2× the $19 Medicare rate · typically $22–$24
modeled estimate · not a bill or quote
What this hospital charges insurers
$23
About the fair price
1.2× Medicare
Medicare pays $19 Fair price $23 This hospital $23

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 $23 (about 1.2× the $19 Medicare rate). Upper Valley Medical Center charges insurers about $23 — about the fair price. Located in Troy, OH.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $23 119%
Blue Cross Blue Shieldmajor $19 - $60 98%
Medical Mutual $44 228%
+ 1 smaller / regional plan $15
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 3130 N Dixie Highway, Troy, OH 45373
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals