CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Ascension Sacred Heart Rehabilitation Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$34
about 1.8× the $19 Medicare rate · typically $21–$71
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $34 Cash price $43 Hospital's list price $81

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $27 140%
Blue Cross Blue Shieldmajor $20 - $71 104%
Humanamajor $26 - $38 135%
+ 4 smaller / regional plans $26 - $44

Self-Pay How to get the cash price

Insurance Before you use insurance

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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: 13111 N Port Washington Rd, Mequon, WI 53097
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL