CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: St Marys Rehabilitation Hospital
Billing Code: G0103 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$30
about 1.6× the $19 Medicare rate · typically $19–$97
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $30 Cash price $82 Hospital's list price $82
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
✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 | $82 | 425% |
| Aetnamajor | $82 | 425% |
| Cignamajor | $82 | 425% |
| Humanamajor | $82 | 425% |
| Ambetter (Centene) | $82 | 425% |
| + 11 smaller / regional plans | $82 |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at St Marys Rehabilitation Hospital
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.