CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Pinewood Springs

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$21
about 1.1× the $19 Medicare rate · typically $19–$38
modeled estimate · not a bill or quote
What this hospital charges insurers
$19
About the fair price
about $2 under the fair price · 1.0× Medicare
Medicare pays $19 Fair price $21 This hospital $19

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $17 Priciest $19

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a Prostate cancer screening (blood test) is about $21 (about 1.1× the $19 Medicare rate). Pinewood Springs charges insurers about $19 — about the fair price. Located in Columbia, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Aetna✓ Humana UnitedHealthcareBlue Cross Blue ShieldCignaKaiser 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
Aetnamajor $15 - $20 78%
Humanamajor $19 98%
Amerigroup $19 98%
Bright Health $19 - $22 98%
Devoted Health $19 98%
+ 1 smaller / regional plan $20
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1001 N James Campbell Blvd, Columbia, TN 38401
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Psychiatric