CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Bertrand Chaffee Hospital

Billing Code: G0103 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0103
  • Insurance Median: $19
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Prostate cancer screening (blood test) at Bertrand Chaffee Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $19.31, this hospital’s rate is 0.98x the Medicare baseline. Located in 224 East Main Street, Springville, NY.
Cash / Self-Pay
$28

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%)
Cash / Self-Pay: $28 (145%)
Insurance Median: $19 (98%)
Cash: $28 (145% of Medicare)
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
Univera Hc Child Health+ $16 83%
Univera Essential Plans $16 83%
Univera Hc Myhealth+ $16 83%
Univera Plus Med $16 83%
Iha Essential Plans $17 88%
Iha Medisource $17 88%
Univera Senior Choice $17 - $18 88%
Wellcare $19 98%
Medicare (plans) $19 98%
Advantra-McR Advantage $19 98%
Mutual of Omaha $19 98%
Optimum Healthcare - McR $19 98%
Lifetime Benefits $19 98%
Aetna $19 - $33 98%
United Hc McR Solutions $19 98%
Tricare $19 98%
UnitedHealthcare $19 98%
Iha Encompass 65 $19 - $20 98%
Geisinger Health Plan $19 98%
Todays Option - Amer Prog $19 98%
Champva $19 98%
Humana $19 98%
Nova Healthcare $19 98%
Cigna $19 - $33 98%
Ctrs Plan for Hlthy Livng $19 98%
Centers Plan Hlty Living $19 98%
Blue Cross Blue Shield $20 104%
Senior Blue - Bc $20 104%
Iha Custom Coverage $20 104%
Iha $20 104%
Univera Healthcare $21 109%
Private Pay $28 145%
No Amer Meritian Health $33 171%
Mvp Commercial $33 171%
Guardian Life Ins. Co. $33 171%
American Progressive Ins. $33 171%
No-Fault $33 171%
Global Excel Mgt $33 171%
Commercial / Misc $33 171%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 224 East Main Street, Springville, NY 14141
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals