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 - G0103 - 30210103 - 30210103
Olympia Fields, IL
See all hospitals reporting HCPCS G0103 →Price type
Olympia Fields Hospital’s median price of $19 is 40% below the median hospital's median price ($32), higher than 6% of the 2,276 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: 8 payers, 12 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 | Aetna Better Health aetna better health medicaid fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Aetna aetna medicare fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 3 | Blue Cross Blue Shield bcbs dual eligible fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 4 | Cigna Healthspring cigna healthspring medicare fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 5 | Humana humana medicare fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 6 | Tricare tricare fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 7 | UnitedHealthcare uhc va ccn fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 8 | Blue Cross Blue Shield blue choice ppo fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 9 | Molina molina medicare fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 10 | Molina molina exchange fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 11 | UnitedHealthcare uhc commercial hmo all payor fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 12 | UnitedHealthcare uhc commercial ppo fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
Last updated: Jul 24, 2026
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