CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Childrens Hospital of Wisconsin

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$21
about 1.1× the $19 Medicare rate · typically $20–$37
modeled estimate · not a bill or quote
What this hospital charges insurers
$21
About the fair price
1.1× Medicare
Medicare pays $19 Fair price $21 This hospital $21

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $14 Priciest $21

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

A fair price for a Prostate cancer screening (blood test) is about $21 (about 1.1× the $19 Medicare rate). Childrens Hospital of Wisconsin charges insurers about $21 — about the fair price. Located in Milwaukee, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $19 98%
Blue Cross Blue Shieldmajor $22 114%
Molina $22 114%
+ 4 smaller / regional plans $19 - $24

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Facility Profile & Credentials

  • Address: 9000 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens