HCPCS G0103 at PeaceHealth St John Medical Center

Prostate cancer screening; prostate specific antigen test (psa)

PeaceHealth St John Medical Center, Longview

Description from CMS's HCPCS Level II code file.

What PeaceHealth St John Medical Center publishes for this code: as an outpatient

PeaceHealth St John Medical Center’s prices for HCPCS G0103, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$7.72 – $1115 plans	—
Medicare AdvantageInsurer rates	$15.06 – $21.2414 plans	—
Medicaid managed careInsurer rates	$15.06 – $20.283 plans	—
UnknownInsurer rates	$23.17 – $1373 plans	—
Cash pricePaying yourself, without insurance	$87.75	—
List priceBefore any discount; few people pay it	$135	—

Lowest and highest amounts PeaceHealth St John Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS G0103 at PeaceHealth St John Medical Center
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The lab test, including drawing the sample	—	The price above

A lab test usually comes as one bill from the lab that runs it.

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS G0103 at every Washington hospital, with Medicare’s reference amounts.