CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: Legacy Good Samaritan Medical Center
Billing Code: G0103 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$27
about 1.4× the $19 Medicare rate · typically $22–$35
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $27 Cash price $14 Hospital's list price $21
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ Aetna✓ Cigna✓ Kaiser Permanente UnitedHealthcareBlue Cross Blue ShieldHumana
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 | $20 - $36 | 104% |
| Cignamajor | $66 | 342% |
| Kaiser Permanentemajor | $19 | 98% |
| Health Net | $20 - $50 | 104% |
| Moda Health | $22 - $75 | 114% |
| + 3 smaller / regional plans | $20 - $21 |
Self-Pay How to get the cash price
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Other Procedures at Legacy Good Samaritan Medical Center
Compare: Prostate cancer screening (blood test) at other OR hospitals
- St Charles Medical Center - Bend · Bend $18
- Santiam Hospital & Clinics · Stayton $19
- St Charles Madras · Madras $19
- Providence Newberg Medical Center · Newberg $21
- Providence Medford Medical Center · Medford $21
- Samaritan North Lincoln Hospital · Lincoln City $22
- Samaritan Pacific Community Hospital · Newport $22
- Samaritan Lebanon Community Hospital · Lebanon $22
Insurance negotiated median for the same procedure, sorted lowest first.