PSA blood test for prostate cancer screening

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PROSTATE CANCER SCREENING; PROSTATE SPECIFIC ANTIGEN TEST (PSA)

Payers reporting HCPCS G0103

Payer pricing summary

Low

$10

Average

$576

Median

$67

High

$10.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +34 other terms	795	$19	$26	$26	100%	4,396–4,621	$1 – $402
2	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	551	$28	$63	$83	133%	1,836–1,944	$0 – $1.2k
3	Anthem fee schedule · outpatient · +27 other terms	216	$29	$51	$56	109%	772–880	$3 – $560
4	Aetna fee schedule · outpatient · +32 other terms	723	$21	$45	$49	109%	537–591	$0 – $488
5	Humana fee schedule · outpatient · +27 other terms	505	$19	$33	$47	141%	394–493	$1 – $402
6	Ambetter fee schedule · outpatient · +19 other terms	114	$32	$33	$8	26%	175–184	$13 – $96
7	Bcbs Al facility · other · outpatient · +5 other terms	6	$16	$16	$2	10%	45–81	$14 – $18
8	Medicaid facility · fee schedule · outpatient · +13 other terms	52	$17	$19	$3	15%	17	$6 – $24
9	Medicare fee schedule · both · +13 other terms	54	$19	$19	$1	4%	15	$19 – $26
10	Cigna fee schedule · outpatient · +29 other terms	486	$38	$46	$55	121%	5–50	$5 – $736
11	Molina fee schedule · outpatient · +27 other terms	274	$23	$29	$39	134%	4–40	$1 – $480
12	WellCare fee schedule · outpatient · +18 other terms	329	$20	$21	$6	26%	1–10	$11 – $73
13	Cigna Healthspring fee schedule · outpatient · +8 other terms	143	$20	$19	$2	9%	1–10	$12 – $21
14	Wellmark facility · fee schedule · both · +22 other terms	40	$24	$51	$36	71%	1–10	$17 – $139
15	Medical Mutual fee schedule · outpatient · +15 other terms	25	$29	$32	$13	41%	1–10	$14 – $75
16	Bcbs Mo professional · other · both · +2 other terms	1	$103	$103	—	—	1–10	$103 – $103
17	Devoted fee schedule · outpatient · +16 other terms	192	$19	$19	$0	2%	—	$19 – $22
18	Oscar fee schedule · outpatient · +16 other terms	167	$37	$41	$14	34%	—	$19 – $59
19	Kaiser fee schedule · outpatient · +20 other terms	121	$21	$77	$135	176%	—	$5 – $698
20	Caresource fee schedule · outpatient · +15 other terms	95	$20	$24	$17	70%	—	$1 – $116
21	Tricare facility · fee schedule · outpatient · +16 other terms	86	$18	$19	$22	116%	—	$2 – $266
22	MultiPlan fee schedule · outpatient · +19 other terms	81	$173	$157	$160	102%	—	$5 – $969
23	Optum fee schedule · outpatient · +19 other terms	58	$19	$26	$15	59%	—	$19 – $122
24	First Health fee schedule · outpatient · +17 other terms	57	$43	$111	$168	151%	—	$8 – $851
25	Highmark facility · fee schedule · outpatient · +16 other terms	57	$41	$64	$56	87%	—	$15 – $249

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