Prostate cancer screening (blood test)
Facility: Intermountain Health Sanpete Valley Hospital
Billing Code: G0103 (HCPCS)
- CPT Billing Code: G0103
- Insurance Median: $122
- Cash Discount Price: $96
- vs. Medicare Baseline: 6.32x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $19.31 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 632% of the Medicare baseline (a markup of 532%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Selecthealth | $19 - $122 | 98% |
| Molina | $19 - $122 | 98% |
| Healthy U | $19 - $114 | 98% |
| Health Partners of Nevada | $19 - $38 | 98% |
| Aetna | $19 - $123 | 98% |
| Health Plan of Nevada | $19 - $114 | 98% |
| UnitedHealthcare | $19 - $122 | 98% |
| Blue Cross Blue Shield | $20 - $122 | 104% |
| Humana | $20 - $122 | 104% |
| American Health | $20 - $38 | 104% |
| Triwest | $40 - $116 | 207% |
| Injury Care of Nevada | $96 | 497% |
| Corporation of the President | $109 | 564% |
| Wcf Insurance | $109 | 564% |
| Corvel Corporation | $109 | 564% |
| Byu Risk Management | $109 | 564% |
| Juniper Systems | $122 | 632% |
| Prodegi Corp Benefit | $122 | 632% |
| Campbell Scientific | $122 | 632% |
| Medcare International | $122 | 632% |
| Emi | $122 | 632% |
| Springtide | $122 | 632% |
| Cigna | $122 | 632% |
| Global Excel | $122 | 632% |
| Ifit | $122 | 632% |
| Tanner LLC | $122 | 632% |
| Uofu | $122 | 632% |
| Pehp | $122 | 632% |
| Byu Athletics | $122 | 632% |
| Managed Care Admin | $122 | 632% |
| Deseret Mutual | $122 | 632% |
| Hygeia Corporation | $122 | 632% |
| Health Utah | $122 | 632% |
| Lw Miller | $122 | 632% |
| Utah Tech | $122 | 632% |
| Emi Health | $122 | 632% |
| Wise Network | $122 | 632% |
| Franklin County | $122 | 632% |
| Awh Connected | $122 - $123 | 632% |
| Motivhealth | $122 | 632% |