CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: Stephens Memorial Hospital
Billing Code: G0103 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$48
about 2.5× the $19 Medicare rate · typically $18–$114
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $48 Cash price $115 Hospital's list price $164
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 - $164 | 98% |
| Blue Cross Blue Shieldmajor | $52 - $138 | 269% |
| Aetnamajor | $138 - $172 | 715% |
| Cignamajor | $116 | 601% |
| Humanamajor | $19 | 98% |
| + 1 smaller / regional plan | $79 |
Government programs also on file: Medicaid.
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Other Procedures at Stephens Memorial Hospital
Compare: Prostate cancer screening (blood test) at other TX hospitals
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $13
- PAM Specialty Hospital of Texarkana North · Texarkana $14
- Seymour Hospital · Seymour $17
- Childrens Medical Ctr of Dallas · Dallas $17
- Childrens Medical Center Plano · Plano $17
- Cochran Memorial Hospital · Morton $18
- Peterson Regional Medical Center · Kerrville $19
- University Medical Center of El Paso · El Paso $19
Insurance negotiated median for the same procedure, sorted lowest first.