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 - Total Screening
San Angelo, TX
See all hospitals reporting HCPCS G0103 →Price type
Shannon River Crest Hospital’s median price of $129 is 298% above the median hospital's median price ($32), higher than 87% of the 2,283 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, 17 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 | Humana medicare advantage facility · case rate · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 2 | Cigna ppo facility · case rate · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 3 | Ambetter ppo facility · case rate · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 4 | Bcbs Tx hmo facility · fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 5 | Bcbs Tx bav facility · fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 6 | Bcbs Tx ppo facility · fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 7 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $282 | $282 | — | — | — | $282 – $282 |
| 8 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $282 | $282 | — | — | 1–10 | $282 – $282 |
| 9 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $321 | $321 | — | — | — | $321 – $321 |
| 10 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $321 | $321 | — | — | — | $321 – $321 |
| 11 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $321 | $321 | — | — | — | $321 – $321 |
| 12 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $321 | $321 | — | — | — | $321 – $321 |
| 13 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $321 | $321 | — | — | — | $321 – $321 |
| 14 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $334 | $334 | — | — | — | $334 – $334 |
| 15 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $334 | $334 | — | — | 26 | $334 – $334 |
| 16 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $342 | $342 | — | — | — | $342 – $342 |
| 17 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $342 | $342 | — | — | — | $342 – $342 |
Last updated: Dec 8, 2025
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