Prostate cancer screening (blood test)
Facility: Ohio Valley Surgical Hospital
Billing Code: G0103 (HCPCS)
- CPT Billing Code: G0103
- Insurance Median: $11,885
- Cash Discount Price: $122
- vs. Medicare Baseline: 615.48x 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 61548% of the Medicare baseline (a markup of 61448%). 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 | $23 - $17,571 | 119% |
| Nippon Life | $27 - $20,896 | 140% |
| Aetna | $27 - $20,896 | 140% |
| Genworth | $27 - $20,896 | 140% |
| Ngs Coresource | $27 - $20,896 | 140% |
| Meritain | $27 - $20,896 | 140% |
| Pacific Source | $27 - $20,896 | 140% |
| Mail Handlers | $27 - $20,896 | 140% |
| Meritain Heatlh | $27 - $20,896 | 140% |
| Geha | $27 - $20,896 | 140% |
| Mhbp | $27 - $20,896 | 140% |
| Personify Health | $27 - $20,896 | 140% |
| Mmoh | $92 - $11,885 | 476% |
| Mmo Cin. HMO | $94 - $129 | 487% |
| Mmoh (Supermed) | $94 - $95 | 487% |
| Medicare (plans) | $122 - $12,264 | 632% |
| Medben | $184 | 953% |
| Luminare Health | $184 | 953% |
| Preferred Health | $184 | 953% |
| Ohio Health | $184 | 953% |
| Blue Cross Blue Shield | $201 - $40,293 | 1041% |
| Medicaid / KanCare | $3,557 - $17,827 | 18421% |
| Amerihealth Caritas of Ohio | $3,657 | 18938% |
| Buckeye Community Health Plan | $4,022 | 20829% |
| Molina McD | $4,084 | 21150% |
| Caresource | $4,364 - $17,827 | 22600% |
| Humana | $4,493 - $11,919 | 23268% |
| Champus | $11,885 | 61548% |
| American Continental Life | $11,885 | 61548% |
| Molina McR | $11,885 | 61548% |
| Molina | $11,885 | 61548% |
| Communicare Advantage | $11,885 | 61548% |
| American Retirement | $11,885 | 61548% |
| Everest | $11,885 | 61548% |
| Medigold | $11,885 | 61548% |
| Gateway Health Plan | $11,885 | 61548% |
| Bankers Fidelity | $11,885 | 61548% |
| Wellcare By Allwell | $11,885 | 61548% |
| Molina Dual McR | $11,885 | 61548% |
| American Continental Insurance | $11,885 | 61548% |
| Patient No Pay | $11,885 | 61548% |
| Molina Marketplace | $11,885 | 61548% |
| Prosperity Supplement | $11,885 | 61548% |
| Molina Dual McR | $11,885 | 61548% |
| Molina McR+McD | $11,885 | 61548% |
| Bankers Life and Casualty | $11,885 | 61548% |
| Aarp Supplemental | $11,885 | 61548% |
| American Republic | $11,885 | 61548% |
| Cigna | $11,885 - $18,817 | 61548% |
| Aarp | $11,885 | 61548% |
| Molina McR McD | $11,885 | 61548% |
| Central States | $11,885 | 61548% |
| Wraparound Pl Supp | $11,885 | 61548% |
| Self Pay Imaging | $11,885 | 61548% |
| Aultcare Primetime Health Plan | $11,885 | 61548% |
| The Health Plan | $12,479 | 64625% |
| Devoted Health | $13,707 | 70984% |
| Employer Direct | $15,703 | 81321% |
| Golden Rule | $17,571 | 90994% |
| Surest | $17,571 | 90994% |
| Oxford | $17,571 | 90994% |
| Ushealth | $17,571 | 90994% |
| Medica | $17,571 | 90994% |
| Shl | $17,571 | 90994% |
| Caresourse | $17,827 | 92320% |
| Samba | $18,817 | 97447% |
| Nalc | $18,817 | 97447% |
| Sbma | $18,817 | 97447% |
| Healthgram | $18,817 | 97447% |
| Unified Group | $18,817 | 97447% |