HCPCS G0103
Prostate cancer screening; prostate specific antigen test (psa)
Current codeImmunoassay41 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $106 | $264 |
| Cascade Medical Center | $92.14 | $138 | $173 |
| Cascade Valley Hospital | — | $91.20 | $114 |
| Coulee Medical Center | — | $145 | $161 |
| Deaconess Medical Center | — | $81.60 | $204 |
| Harborview Medical Center | — | $96.15 | $137 |
| Legacy Salmon Creek Medical Center | — | $13.65 – $35.75 | $21.00 – $55.00 |
| Mary Bridge Children's Hospital | — | $38.40 | $96.00 |
| MultiCare Auburn Medical Center | — | $38.40 | $96.00 |
| MultiCare Covington Medical Center | — | $38.40 | $96.00 |
| MultiCare Good Samaritan Hospital | — | $38.40 | $96.00 |
| MultiCare Valley Hospital | — | $81.60 | $204 |
| Overlake Hospital Medical Center & Clinics | — | $13.62 – $23.50 | $27.24 – $47.00 |
| Providence St Joseph Hospital | — | $106 | $151 |
| Skagit Valley Hospital | — | $96.00 | $120 |
| Tacoma General Allenmore Hospital | — | $38.40 | $96.00 |
| Three Rivers Hospital | $153 – $170 | $219 – $243 | $219 – $243 |
| University of Washington Medical Ctr | — | $83.01 | $119 |
| Wellfound Behavioral Health Hospital | — | $58.00 | $145 |
| Yakima Valley Memorial | — | $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