CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: Gifford Medical Center
Billing Code: G0103 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$68
about 3.6× the $19 Medicare rate · typically $17–$92
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $68 Cash price $80 Hospital's list price $159
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 | $19 - $151 | 98% |
| Blue Cross Blue Shieldmajor | $71 - $135 | 368% |
| Aetnamajor | $151 | 782% |
| Cignamajor | $127 | 658% |
| Harvard Pilgrim | $127 | 658% |
| MVP Health Care | $72 - $135 | 373% |
| + 1 smaller / regional plan | $72 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Gifford Medical Center
Compare: Prostate cancer screening (blood test) at other VT hospitals
- Central Vermont Medical Center · Barre $19
- Southwestern Vermont Medical Center · Bennington $19
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $20
- Brattleboro Memorial Hospital · Brattleboro $20
Insurance negotiated median for the same procedure, sorted lowest first.