CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: North Austin Medical Center

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$21
about 1.1× the $19 Medicare rate · typically $20–$23
modeled estimate · not a bill or quote
What this hospital charges insurers
$22
About the fair price
about $1 over the fair price · 1.2× Medicare
Medicare pays $19 Fair price $21 This hospital $22 Cash price $216 Hospital's list price $216

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 $22

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Prostate cancer screening (blood test) is about $21 (about 1.1× the $19 Medicare rate). North Austin Medical Center charges insurers about $22, or about $216 in cash — about the fair price. Located in Austin, TX.

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 $19 - $97 98%
Blue Cross Blue Shieldmajor $19 - $95 98%
Aetnamajor $19 - $121 98%
Cignamajor $19 - $54 98%
Humanamajor $19 98%
Amerigroup $25 129%
Devoted Health $19 98%
Health Net $140 725%
Healthcare Highways $63 - $65 326%
Independent Health $20 104%
Moda Health $51 - $80 264%
Molina $21 109%
Oscar Health $53 - $59 274%
WellCare $20 104%
WellMed $19 98%
+ 29 smaller / regional plans $19 - $194
Government programs also on file: Medicaid, Military & VA.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 12221 Mopac Expressway North, Austin, TX 78758
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals