CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Allegheny General Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$20
about 1.1× the $19 Medicare rate · typically $19–$24
modeled estimate · not a bill or quote
What this hospital charges insurers
$19
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $19 Fair price $20 This hospital $19 Cash price $132 Hospital's list price $174

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

One of the lower prices — 0 of 8 other PA hospitals charge more for the same procedure.

Cheapest $15 Priciest $19

Black dot = this hospital, among the 9 PA 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 $20 (about 1.1× the $19 Medicare rate). Allegheny General Hospital charges insurers about $19, or about $132 in cash — about the fair price. Located in Pittsburgh, PA.

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 - $21 98%
Blue Cross Blue Shieldmajor $10 - $34 52%
Aetnamajor $20 - $65 104%
Cignamajor $15 - $21 78%
Humanamajor $20 104%
AmeriHealth $20 104%
Medical Mutual $21 109%
Molina $21 109%
+ 4 smaller / regional plans $16 - $50
Government programs also on file: Medicare.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 320 East North Avenue, Pittsburgh, PA 15212
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals