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.
Original text from hospital filings
PROSTATE CANCER SCREENING; PROSTATE SPECIFIC ANTIGEN TEST (PSA)
Tehachapi, CA
See all hospitals reporting HCPCS G0103 →Price type
Adventist Health Medical Center Tehachapi’s median price of $47 is 45% above the median hospital's median price ($33), higher than 63% of the 2,306 hospitals reporting HCPCS G0103. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare uhc all payer- all other plans fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 2 | UnitedHealthcare uhc jll csp fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Blue Cross Blue Shield tricare blue shield fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 4 | Oscar oscar health plan- all plans fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 5 | UnitedHealthcare uhc mcr adv fee schedule · outpatient | $22 | $24 | $14 | 57% | — | $2 – $42 |
| 6 | Blue Cross Blue Shield tricare blue shield percent of total billed charges · outpatientfrom % of charges | $28 | $25 | $15 | 60% | — | $2 – $42 |
| 7 | Kaiser kaiser medicare ip/op only percent of total billed charges · outpatientfrom % of charges | $28 | $25 | $15 | 60% | — | $2 – $42 |
| 8 | Blue Cross Blue Shield blue shield epn- all other plans fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 9 | Blue Cross Blue Shield blue shield non-epn fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 10 | Oscar oscar health plan- all plans other · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 11 | Kaiser kaiser ip/op only- all other plans percent of total billed charges · outpatientfrom % of charges | $48 | $43 | $26 | 60% | — | $4 – $72 |
| 12 | Blue Cross Blue Shield blue cross non-mcs- all other plans fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 13 | Blue Cross Blue Shield blue shield epn- all other plans percent of total billed charges · outpatientfrom % of charges | $62 | $55 | $33 | 60% | 4–40 | $5 – $93 |
| 14 | UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges | $68 | $61 | $36 | 60% | — | $6 – $102 |
| 15 | UnitedHealthcare uhc all payer- all other plans percent of total billed charges · outpatientfrom % of charges | $71 | $64 | $38 | 60% | — | $6 – $107 |
| 16 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $73 | $65 | $39 | 60% | 4–40 | $6 – $110 |
| 17 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $76 | $68 | $41 | 60% | — | $7 – $114 |
| 18 | Blue Cross Blue Shield blue cross non-mcs- all other plans case rate · outpatient | $84 | $75 | $45 | 60% | — | $7 – $126 |
| 19 | Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges | $87 | $89 | $60 | 68% | — | $10 – $171 |
| 20 | Aetna aetna-all plans fee schedule · outpatient | $109 | $92 | $34 | 37% | — | $24 – $109 |
| 21 | Medicaid medi-cal fee schedule · outpatient | $112 | $119 | $73 | 62% | — | $13 – $219 |
| 22 | Kaiser kaiser medi-cal ip/op only fee schedule · outpatient | $146 | $131 | $78 | 60% | — | $13 – $219 |
Last updated: May 21, 2026
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