Prostate cancer screening (blood test)
Facility: Northern Louisiana Medical Center
Billing Code: G0103 (HCPCS)
- CPT Billing Code: G0103
- Insurance Median: $760
- Cash Discount Price: $464
- vs. Medicare Baseline: 39.36x 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 3936% of the Medicare baseline (a markup of 3836%). 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 |
|---|---|---|
| UnitedHealthcare | $15 - $507 | 78% |
| Champva | $15 | 78% |
| Tricare | $15 - $19 | 78% |
| Golden Rule Ins | $15 - $507 | 78% |
| Champus | $15 | 78% |
| Medicare (plans) | $19 | 98% |
| Blue Cross Blue Shield | $19 - $121 | 98% |
| VA | $19 | 98% |
| Mutual of Omaha | $19 | 98% |
| Vantage Advantage | $19 | 98% |
| Veterans Evaluation Svcs | $19 | 98% |
| Humana | $19 - $133 | 98% |
| Gulf South Services | $19 | 98% |
| Aetna | $33 - $506 | 171% |
| Vantage Health Plan Ppaca | $37 | 192% |
| Vantage Health Plan | $39 | 202% |
| Medicaid / KanCare | $121 - $844 | 627% |
| Verity Healthnet | $414 | 2144% |
| Cigna | $422 | 2185% |
| Kaiser Permanente | $422 | 2185% |
| Self Pay | $464 | 2403% |
| Gilsbar | $464 | 2403% |
| Geha | $675 - $802 | 3496% |
| PHCS | $717 | 3713% |
| Multiplan | $717 | 3713% |
| First Health | $717 | 3713% |
| Work Comp Nlmc Emp | $760 | 3936% |
| Work Comp First Health | $760 | 3936% |
| Workers Compensation | $760 | 3936% |
| Work Comp City of Ruston | $760 | 3936% |
| Equitable | $844 | 4371% |
| Gsu Athletics | $844 | 4371% |
| Premier Hospice | $844 | 4371% |
| Crime Victims Compensatio | $844 | 4371% |
| Guarantee Trust Life Ins | $844 | 4371% |
| Union Bankers Insurance C | $844 | 4371% |
| Physicians Mutual Ins | $844 | 4371% |
| Fox Everett Inc | $844 | 4371% |
| Gmp Employers Retiree Tru | $844 | 4371% |
| Specialty Hosp of Winnfie | $844 | 4371% |
| Industrial Accounts | $844 | 4371% |
| American Life Accident | $844 | 4371% |
| Aflc American Family Life | $844 | 4371% |
| Ima Insurance | $844 | 4371% |
| McR American Hlth Adv | $844 | 4371% |
| Mva Insurance Payors | $844 | 4371% |
| Hospice of Caring Hearts | $844 | 4371% |
| Washington National Ins | $844 | 4371% |
| Us Dept of Labor | $844 | 4371% |
| Nalc Health Benefit Plan | $844 | 4371% |
| Misc Commercial | $844 | 4371% |
| Lifecare Specialty Hosp | $844 | 4371% |
| Principal Mutual Life Ins | $844 | 4371% |
| Union Fidelity Life Ins | $844 | 4371% |
| Ltu Student Ins Bollinger | $844 | 4371% |
| United Teachers Ins | $844 | 4371% |
| State Farm Insurance | $844 | 4371% |
| Healthfirst Tpa | $844 | 4371% |
| The Hartford | $844 | 4371% |
| Liberty Mutual Group | $844 | 4371% |
| Nalc Natl Assoc Ltr Carri | $844 | 4371% |
| Newera | $844 | 4371% |
| Bankers Life and Casualty | $844 | 4371% |
| Sterling Investors Life | $844 | 4371% |
| Benefit Trust Life | $844 | 4371% |
| Protective Life Ins | $844 | 4371% |
| Ruston Regional Specialty | $844 | 4371% |
| Lin Parish Detention | $844 | 4371% |
| Aarp | $844 | 4371% |
| State Mutual Ins | $844 | 4371% |
| Ltu Athletics | $844 | 4371% |
| Apwu Health Plan | $844 | 4371% |
| United American | $844 | 4371% |
| Liberty Healthshare | $844 | 4371% |
| Nlmc Community Services | $844 | 4371% |
| Lincoln Kidney Center | $844 | 4371% |