CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Legacy Salmon Creek Medical Center

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$26
about 1.4× the $19 Medicare rate · typically $22–$36
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $26 Cash price $14 Hospital's list price $21

How we calculate the fair BaseRate →

What each insurance company pays

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

3 of 6 major insurers have a published price at this hospital

✓ Aetna✓ Cigna✓ Kaiser Permanente UnitedHealthcareBlue Cross Blue ShieldHumana

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
Aetnamajor $20 - $36 104%
Cignamajor $21 - $66 109%
Kaiser Permanentemajor $39 202%
Health Net $20 - $50 104%
Moda Health $22 114%
PacificSource $21 109%
+ 1 smaller / regional plan $20

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: 2211 Ne 139Th Street, Vancouver, WA 98686
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals