CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Lehigh Valley Hospital - Pocono

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$23
about 1.2× the $19 Medicare rate · typically $18–$28
modeled estimate · not a bill or quote
What this hospital charges insurers
$21
About the fair price
about $2 under the fair price · 1.1× Medicare
Medicare pays $19 Fair price $23 This hospital $21

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $15 Priciest $21

Black dot = this hospital, among the 9 PA 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). Lehigh Valley Hospital - Pocono charges insurers about $21 — about the fair price. Located in East Stroudsburg, 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 $14 - $20 73%
Blue Cross Blue Shieldmajor $20 - $86 104%
Aetnamajor $20 - $107 104%
Cignamajor $20 104%
Humanamajor $20 104%
Ambetter (Centene) $59 306%
AmeriHealth $20 104%
Devoted Health $20 104%
Geisinger $20 - $46 104%
HealthPartners $20 - $39 104%
UPMC Health Plan $20 - $94 104%
+ 4 smaller / regional plans $21 - $113

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Facility Profile & Credentials

  • Address: 206 East Brown Street, East Stroudsburg, PA 18301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals