CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: North Texas Medical Center

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$19
about 1.0× the $19 Medicare rate · typically $19–$25
modeled estimate · not a bill or quote
What this hospital charges insurers
$19
About the fair price
1.0× Medicare
Medicare pays $19 Fair price $19 This hospital $19 Cash price $37 Hospital's list price $147

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $13 Priciest $19

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

A fair price for a Prostate cancer screening (blood test) is about $19 (about 1.0× the $19 Medicare rate). North Texas Medical Center charges insurers about $19, or about $37 in cash — about the fair price. Located in Gainesville, TX.

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✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $135 699%
Blue Cross Blue Shieldmajor $19 - $74 98%
Aetnamajor $91 471%
Cignamajor $59 306%
Healthcare Highways $88 456%
+ 1 smaller / regional plan $125
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1900 Hospital Blvd, Gainesville, TX 76240
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals