CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: University Medical Center

Billing Code: G0103 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0103
  • Insurance Median: $19
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Prostate cancer screening (blood test) at University Medical Center is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $19.31, this hospital’s rate is 0.98x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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%)
Insurance Median: $19 (98%)
Ins. Median: $19 (98% 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.

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
Kaiser $5 - $31 26%
Great West Healthcare $5 - $31 26%
City of North Las Vegas $5 26%
National Security Technologies $5 - $31 26%
Cirque De Soleil $5 - $31 26%
Cigna $5 - $31 26%
Blue Cross Blue Shield $9 - $19 47%
Operating Engineers $9 47%
Teamsters Local 631 $9 47%
So Ca Pipe Trades H&W $9 47%
Caesar's Entertainment $9 47%
Laborers Health and Welfare $9 47%
Ufcw Local 711 Retail Clerks $9 47%
Teamsters Local 14 $9 47%
Boyd Group $9 47%
Sheet Metal Workers $9 47%
Bricklayers Local 13 $9 47%
California Ironwork Field Welfare $9 47%
Plumbers & Pipefitters Loc 525 $9 47%
Electrical Workers $9 47%
Teamsters Local 986 $9 47%
Southwest Carpenters H&W $9 47%
Surest $14 - $17 73%
Las Vegas Firefighters 1285 $14 73%
American Postal Workers Health Plan $14 - $17 73%
Switch $14 73%
UnitedHealthcare $14 - $19 73%
Las Vegas Sand Corps $17 88%
Selecthealth $19 - $29 98%
Scan $19 98%
Advantra Freedom $19 98%
Allwell $19 98%
Aetna $19 - $34 98%
Alignment Health $19 98%
Molina $19 - $29 98%
P3 Health Partners Nevada $19 98%
Healthcare Partners of Nevada $19 98%
Sierra Health and Life $19 - $22 98%
VA Pc3 (VA Choice) $19 98%
Ambetter / Centene $30 155%
Health Direct Partners $31 161%
Three Rivers Provider Network $33 171%
First Health $33 171%
Health Net $33 171%
Nevada Preferred Professionals $39 202%
Cement Masons & Plasters H&W $39 202%
Prominence Health Plan $39 202%
Aig $39 202%
Universal Health Network (Uhn) $39 202%
Beech Street $39 202%
Jw Marriott $2,015 10435%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 W Charleston Blvd, Las Vegas, NV 89102
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals