CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Johnson Memorial Hospital

Billing Code: G0103 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0103
  • Insurance Median: $39
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 2.02x Medicare
The contracted insurance negotiated median rate for a Prostate cancer screening (blood test) at Johnson Memorial Hospital is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $19.31, this hospital’s rate is 2.02x the Medicare baseline. Located in 201 Chestnut Hill Road, Stafford Springs, CT.
Cash / Self-Pay
$86

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$19.31

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $19.31 (100%)
Cash / Self-Pay: $86 (445%)
Insurance Median: $39 (202%)
Cash: $86 (445% of Medicare)
Ins. Median: $39 (202% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $19.31 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 202% of the Medicare baseline (a markup of 102%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Connecticut Dept of Correction $18 93%
UnitedHealthcare $19 - $157 98%
Aetna $19 - $39 98%
Blue Cross Blue Shield $19 - $39 98%
Medicare (plans) $19 - $20 98%
Cigna $19 - $122 98%
Harvard Pilgrim Healthcare $19 98%
Geha $19 98%
Cca Senior Care Options $19 98%
Centivo $24 124%
Fallon Health $25 129%
Connecticare $31 - $34 161%
Meritain $39 202%
Blue Shield - Wa (Regence) $39 202%
Health Choices $39 202%
Wc Domestic $39 202%
Blue Benefit Administrators of Massachusetts $39 202%
Kaiser Domestic $39 202%
Webtpa $39 202%
Blue Shield - Ny Highmark Western $39 202%
Pre-Employment $39 202%
Luminare Health $39 202%
Blue Shield - Ca $39 202%
Blue Care Network $39 202%
Unicare $39 202%
Gravie Admin Services $39 202%
Blue Shield - PA (Highmark) $39 202%
Bcn Domestic $39 202%
Blue Shield - Id (Regence) $39 202%
Allied Benefit Systems $39 202%
1199 National Benefit Fund $39 202%
Blue Distinction Transplant $39 202%
Blue Shield - Ny Highmark Northeastern $39 202%
Wellpoint $39 202%
Nippon Life Ins $39 202%
Hap $39 202%
Diversified Administrators $41 212%
Innovative Health Plan II $41 212%
Claimdoc $41 212%
Health New England $102 528%
Magnacare $111 575%
Allegiance $111 575%
Health Partners $111 575%
Prime Health Services $126 653%
Asrm - Reliance Standard Life Insurance $130 673%
Family Life Insurance Company $130 673%
Lifetime Benefit Solutions $130 673%
Medi Share $130 673%
International Benefit Administrators $130 673%
Trinity Health Share $130 673%
Manhattan Life $130 673%
Dean Health $130 673%
Ghc Scw $130 673%
Paramount HMO $130 673%
Mvp $130 673%
PHCS $130 673%
Allied National Global Care $130 673%
Pan-American Life $130 673%
Christian Care Ministry $130 673%
Multiplan $130 673%
Pai $130 673%
Health Smart $133 689%
United Behavioral Health Eap $157 813%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Chestnut Hill Road, Stafford Springs, CT 06076
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals