CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Skagit Valley Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$19
about 1.0× the $19 Medicare rate · typically $10–$25
modeled estimate · not a bill or quote
What this hospital charges insurers
$23
Above the fair price
about $4 over the fair price · 1.2× Medicare
Medicare pays $19 Fair price $19 This hospital $23 Cash price $96 Hospital's list price $120

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

Cheapest $19 Priciest $23

Black dot = this hospital, among the 9 WA 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 $19 (about 1.0× the $19 Medicare rate). Skagit Valley Hospital charges insurers about $23, or about $96 in cash — above the fair price. Located in Mount Vernon, WA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 $20 - $23 104%
Blue Cross Blue Shieldmajor $21 - $25 109%
Aetnamajor $108 559%
Cignamajor $96 497%
Humanamajor $114 590%
Kaiser Permanentemajor $19 - $96 98%
+ 2 smaller / regional plans $31 - $98
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1415 Kincaid Street, Mount Vernon, WA 98274
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals