CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Swedish Issaquah

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$24
about 1.3× the $19 Medicare rate · typically $22–$34
modeled estimate · not a bill or quote
What this hospital charges insurers
$26
About the fair price
about $2 over the fair price · 1.4× Medicare
Medicare pays $19 Fair price $24 This hospital $26

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 $26

Black dot = this hospital, among the 9 WA hospitals with a price for this procedure. Full list below.

A fair price for a Prostate cancer screening (blood test) is about $24 (about 1.3× the $19 Medicare rate). Swedish Issaquah charges insurers about $26 — about the fair price. Located in Issaquah, WA.

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 $17 - $23 88%
Blue Cross Blue Shieldmajor $20 - $35 104%
Aetnamajor $20 - $68 104%
Cignamajor $38 197%
Humanamajor $20 104%
Kaiser Permanentemajor $29 150%
Amerigroup $21 109%
Molina $21 109%
Providence Health Plan $43 223%
+ 3 smaller / regional plans $31 - $50

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Facility Profile & Credentials

  • Address: 751 Ne Blakely Dr, Issaquah, WA 98029
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals