CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Madison Health

Billing Code: G0103 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$25
about 1.3× the $19 Medicare rate · typically $19–$60
modeled estimate · not a bill or quote
What this hospital charges insurers
$20
Below the fair price — a good deal
about $5 under the fair price · 1.1× Medicare
Medicare pays $19 Fair price $25 This hospital $20 Cash price $77 Hospital's list price $96

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 $20

Black dot = this hospital, among the 9 OH 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 $25 (about 1.3× the $19 Medicare rate). Madison Health charges insurers about $20, or about $77 in cash — below the fair price — a good deal. Located in London, OH.

What each insurance company pays

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

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $19 98%
Ambetter (Centene) $30 155%
CareSource $20 - $31 104%
Molina $20 - $30 104%
+ 1 smaller / regional plan $20

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 210 North Main Street, London, OH 43140
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals