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 Screening Prostate Cancer Psa
Troy, NY
See all hospitals reporting HCPCS G0103 →Price type
Samaritan Hospital’s median price of $63 is 93% above the median hospital's median price ($33), higher than 71% 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: 16 payers, 43 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 | Anthem empire bcbs medicare advantage facility · fee schedule · both | $19 | $19 | — | — | — | $19 – $19 |
| 2 | Excellus blue shield of ne new york medicare adv facility · fee schedule · both | $19 | $19 | — | — | — | $19 – $19 |
| 3 | Highmark blue shield of ne new york medicare adv facility · fee schedule · both | $19 | $19 | — | — | — | $19 – $19 |
| 4 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both | $19 | $19 | $6 | 30% | — | $14 – $25 |
| 5 | Anthem empire medicaid facility · fee schedule · both | $19 | $19 | — | — | — | $19 – $19 |
| 6 | Excellus empire medicaid facility · fee schedule · both | $19 | $19 | — | — | — | $19 – $19 |
| 7 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · both | $20 | $20 | — | — | — | $20 – $20 |
| 8 | Aetna aetna medicare advantage facility · fee schedule · both | $20 | $20 | — | — | — | $20 – $20 |
| 9 | WellCare wellcare medicare advantage facility · fee schedule · both | $21 | $21 | — | — | — | $21 – $21 |
| 10 | WellCare wellcare ep 1&2 medicaid facility · fee schedule · both | $33 | $33 | — | — | — | $33 – $33 |
| 11 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both | $41 | $41 | — | — | — | $41 – $41 |
| 12 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both | $41 | $41 | — | — | — | $41 – $41 |
| 13 | Anthem empire bcbs blue access facility · fee schedule · both | $44 | $44 | $1 | 2% | — | $43 – $45 |
| 14 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $46 | $46 | — | — | 37 | $46 – $46 |
| 15 | UnitedHealthcare united healthcare facility · other · both | $48 | $48 | — | — | 51 | $48 – $48 |
| 16 | Anthem empire bcbs hmo epo ppo indemnity facility · fee schedule · both | $50 | $50 | — | — | — | $50 – $50 |
| 17 | Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · fee schedule · both | $50 | $50 | — | — | — | $50 – $50 |
| 18 | UnitedHealthcare empire bcbs hmo epo ppo indemnity facility · fee schedule · both | $50 | $50 | — | — | — | $50 – $50 |
| 19 | Wellmark empire bcbs hmo epo ppo indemnity facility · fee schedule · both | $50 | $50 | — | — | — | $50 – $50 |
| 20 | Highmark blue shield of ne new york ascend facility · fee schedule · both | $53 | $53 | $1 | 2% | — | $51 – $54 |
| 21 | Aetna aetna facility · other · both | $63 | $63 | — | — | 58 | $63 – $63 |
| 22 | Medical Mutual aetna facility · other · both | $63 | $63 | — | — | 2–20 | $63 – $63 |
| 23 | UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both | $66 | $66 | $20 | 30% | — | $46 – $86 |
| 24 | Blue Cross Blue Shield blue shield of ne new york hmo facility · fee schedule · both | $69 | $69 | $2 | 2% | — | $68 – $71 |
| 25 | Carefirst blue shield of ne new york hmo facility · fee schedule · both | $69 | $69 | $2 | 2% | — | $68 – $71 |
Last updated: Mar 31, 2026
See PSA blood test for prostate cancer screening pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.