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
HC PSA-SCREENING
Macon, GA
See all hospitals reporting HCPCS G0103 →Price type
Central Georgia Rehabilitation LLC’s median price of $52 is 60% above the median hospital's median price ($33), higher than 66% 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: 11 payers, 26 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 commercial fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Aetna medicare advantage fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 3 | Anthem medicare advantage fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 4 | Humana medicare advantage fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 5 | UnitedHealthcare medicare advantage fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 6 | Caresource medicare advantage fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 7 | Clover medicare advantage fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 8 | Cigna commercial fee schedule · outpatient | $27 | $27 | $9 | 33% | — | $18 – $36 |
| 9 | Kaiser commercial fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 10 | Humana hmo/pos fee schedule · both | $28 | $28 | — | — | — | $28 – $28 |
| 11 | Humana ppo fee schedule · both | $28 | $28 | — | — | — | $28 – $28 |
| 12 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 13 | Anthem hmo/ppo percent of total billed charges · outpatientfrom % of charges | $76 | $76 | — | — | — | $76 – $76 |
| 14 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
| 15 | Kaiser commercial fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 16 | Humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 17 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 18 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
| 19 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
| 20 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
| 21 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 22 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $112 | $112 | — | — | — | $112 – $112 |
| 23 | MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 24 | MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 25 | Beechstreet commercial percent of total billed charges · inpatientfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
Last updated: Nov 19, 2025
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