Prostate cancer screening (blood test)
Facility: Memorial Hospital Miramar
Billing Code: G0103 (HCPCS)
- CPT Billing Code: G0103
- Insurance Median: $177
- Cash Discount Price: $191
- vs. Medicare Baseline: 9.17x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 917% of the Medicare baseline (a markup of 817%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Avmed | $14 - $84 | 73% |
| Wellcare | $20 - $21 | 104% |
| Aetna | $21 - $109 | 109% |
| Humana | $21 | 109% |
| Florida Community Care | $21 | 109% |
| Solis Health Plan | $22 | 114% |
| Florida Pace Centers | $22 | 114% |
| Health Sun | $22 - $205 | 114% |
| UnitedHealthcare | $23 - $46 | 119% |
| Longevity | $24 | 124% |
| Align Senior Care | $24 | 124% |
| Sunshine | $26 - $115 | 135% |
| Amerihealth Caritas | $44 | 228% |
| Community Care Plan | $46 | 238% |
| Cigna | $48 - $75 | 249% |
| Molina | $49 | 254% |
| Employers Health Network | $87 | 451% |
| Emerging Therapy Solutions | $164 | 849% |
| Global Health Claims | $177 - $232 | 917% |
| Axis | $177 | 917% |
| Plotkin | $177 | 917% |
| Global Medical Management | $177 | 917% |
| Worldwide Medical Assurance | $177 | 917% |
| Star Healthcare Network | $177 | 917% |
| Global Reach Health | $177 | 917% |
| World Medical Care | $177 | 917% |
| National Healthcare Solutions | $177 | 917% |
| Quebec Inc | $177 | 917% |
| Quality Health Management | $177 | 917% |
| Allianz | $177 | 917% |
| Worldwide Managed Care Partners | $177 | 917% |
| Desjardins Financial Security Life Assurance Company | $177 | 917% |
| Dimension Health | $184 | 953% |
| Employers Choice Network | $218 | 1129% |
| Gallagher Bassett | $218 | 1129% |
| Broward County | $718 - $2,726 | 3718% |