CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: UPMC St Margaret
Billing Code: G0103 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$22
about 1.2× the $19 Medicare rate · typically $18–$33
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $22 Cash price $96 Hospital's list price $160
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $21 - $230 | 109% |
| Aetnamajor | $20 - $64 | 104% |
| Cignamajor | $45 - $64 | 233% |
| Humanamajor | $136 | 704% |
| UPMC Health Plan | $17 - $40 | 88% |
| + 3 smaller / regional plans | $21 - $128 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at UPMC St Margaret
Compare: Prostate cancer screening (blood test) at other PA hospitals
- UPMC Muncy · Muncy $15
- UPMC Wellsboro · Wellsboro $15
- Saint Vincent Hospital · Erie $19
- Allegheny Valley Hospital · Natrona $19
- Heritage Valley Beaver · Beaver $19
- Heritage Valley Sewickley · Sewickley $19
- Allegheny General Hospital · Pittsburgh $19
- West Penn Hospital · Pittsburgh $19
Insurance negotiated median for the same procedure, sorted lowest first.