HCPCS G0103
Prostate cancer screening; prostate specific antigen test (psa)
Current codeImmunoassay39 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $19.31 – $224 | $106 | $264 |
| Cascade Medical Center | $18.40 – $108 | $138 | $173 |
| Cascade Valley Hospital | $9.69 – $968 | $91.20 | $114 |
| Coulee Medical Center | — | $145 | $161 |
| Deaconess Medical Center | $19.31 – $149 | $81.60 | $204 |
| Harborview Medical Center | $28.96 – $59.86 | $96.15 | $137 |
| Island Hospital | $19.31 – $37.22 | — | — |
| Kadlec Regional Medical Center | $20.63 – $54.24 | — | — |
| Legacy Salmon Creek Medical Center | $36.11 – $66.04 | — | — |
| Mary Bridge Children's Hospital | $19.31 – $62.68 | $30.80 | $77.00 |
| MultiCare Auburn Medical Center | $19.31 – $56.21 | $30.80 | $77.00 |
| MultiCare Covington Medical Center | $19.31 – $56.21 | $30.80 | $77.00 |
| MultiCare Good Samaritan Hospital | $19.31 – $56.21 | $30.80 | $77.00 |
| MultiCare Valley Hospital | $19.31 – $147 | $81.60 | $204 |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $20.08 – $65.18 | $13.62 – $23.50 | $27.24 – $47.00 |
| PeaceHealth Peace Island Medical Center | — | $50.70 – $96.85 | $78.00 – $149 |
| PeaceHealth Southwest Medical Cente | $7.72 – $62.65 | $201 | $309 |
| PeaceHealth St John Medical Center | $7.72 – $111 | $87.75 | $135 |
| PeaceHealth St Joseph Medical Center | $23.17 – $37.24 | $115 | $177 |
| PeaceHealth United General Medical Center | $30.32 | $70.85 | $109 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $23.17 – $114 | — | — |
| Providence Centralia Hospital | $32.63 – $181 | — | — |
| Providence Holy Family Hospital | $23.17 – $82.40 | — | — |
| Providence Regional Medical Center Everett | $19.31 – $125 | — | — |
| Providence St Joseph Hospital | — | $106 | $151 |
| Providence St Mary Medical Center | $30.90 – $125 | — | — |
| Providence St Peter Hospital | $16.41 – $100 | — | — |
| Skagit Valley Hospital | $23.17 – $114 | $96.00 | $120 |
| Swedish Edmonds Hospital | $19.31 – $86.90 | — | — |
| Swedish Issaquah | $17.38 – $67.78 | — | — |
| Swedish Medical Center | $17.38 – $68.97 | — | — |
| Swedish Medical Center / Cherry Hill | $17.38 – $68.97 | — | — |
| Tacoma General Allenmore Hospital | $19.31 – $56.21 | $30.80 | $77.00 |
| Three Rivers Hospital | — | $219 – $243 | $219 – $243 |
| University of Washington Medical Ctr | $23.17 – $60.56 | $83.01 | $119 |
| Virginia Mason Medical Center | $10.16 – $87.09 | — | — |
| Wellfound Behavioral Health Hospital | $48.73 | $58.00 | $145 |
| Yakima Valley Memorial | $19.99 – $65.13 | $30.40 | $76.00 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Lab fee schedule (national limit)
- $19.31