CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: Vernon Memorial Hospital
Billing Code: G0103 (HCPCS)
The BaseRate · fair price low confidence
A fair price for this
$77
about 4.1× the $19 Medicare rate · typically $19–$165
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $77 Cash price $166 Hospital's list price $166
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✓ Humana CignaKaiser 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 | $56 | 290% |
| Blue Cross Blue Shieldmajor | $161 | 834% |
| Aetnamajor | $60 | 311% |
| Humanamajor | $46 | 238% |
| Quartz | $53 | 274% |
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Other Procedures at Vernon Memorial Hospital
Compare: Prostate cancer screening (blood test) at other WI hospitals
- Tomah Memorial Hospital · Tomah $14
- Columbus Community Hospital · Columbus $15
- Fort Memorial Hospital · Fort Atkinson $19
- Gundersen Lutheran Medical Center · La Crosse $19
- Unitypoint Health - Meriter · Madison $19
- Sauk Prairie Hospital · Prairie Du Sac $19
- University of Wi Hospitals & Clinics Authority · Madison $19
- Froedtert Memorial Lutheran Hospital · Milwaukee $19
Insurance negotiated median for the same procedure, sorted lowest first.