HCPCS G0103
Prostate cancer screening; prostate specific antigen test (psa)
Current codeImmunoassay39 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $18.92 – $20.82 | $106 | $264 |
| Cascade Medical Center | $18.92 – $144 | $138 | $173 |
| Cascade Valley Hospital | $20.28 – $974 | $91.20 | $114 |
| Coulee Medical Center | — | $145 | $161 |
| Deaconess Medical Center | $18.92 – $20.82 | $81.60 | $204 |
| Harborview Medical Center | $19.31 – $21.24 | $96.15 | $137 |
| Island Hospital | $20.68 – $21.92 | — | — |
| Kadlec Regional Medical Center | $19.31 – $23.17 | — | — |
| Legacy Salmon Creek Medical Center | $19.89 – $21.63 | — | — |
| Mary Bridge Children's Hospital | $18.92 – $20.82 | $30.80 | $77.00 |
| MultiCare Auburn Medical Center | $18.92 – $20.82 | $30.80 | $77.00 |
| MultiCare Covington Medical Center | $18.92 – $20.82 | $30.80 | $77.00 |
| MultiCare Good Samaritan Hospital | $18.92 – $20.82 | $30.80 | $77.00 |
| MultiCare Valley Hospital | $19.49 – $20.82 | $81.60 | $204 |
| Olympic Medical Center | $21.71 – $27.92 | — | — |
| Overlake Hospital Medical Center & Clinics | $19.31 – $20.08 | $13.62 – $23.50 | $27.24 – $47.00 |
| PeaceHealth Peace Island Medical Center | — | $50.70 – $96.85 | $78.00 – $149 |
| PeaceHealth Southwest Medical Cente | $19.31 – $22.21 | $201 | $309 |
| PeaceHealth St John Medical Center | $15.06 – $21.24 | $87.75 | $135 |
| PeaceHealth St Joseph Medical Center | $19.31 – $21.24 | $115 | $177 |
| PeaceHealth United General Medical Center | — | $70.85 | $109 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $19.31 – $21.24 | — | — |
| Providence Centralia Hospital | $19.31 – $30.90 | — | — |
| Providence Holy Family Hospital | $19.31 – $21.24 | — | — |
| Providence Regional Medical Center Everett | $19.89 – $21.24 | — | — |
| Providence St Joseph Hospital | — | $106 | $151 |
| Providence St Mary Medical Center | $19.31 – $21.24 | — | — |
| Providence St Peter Hospital | $19.31 – $30.90 | — | — |
| Skagit Valley Hospital | $19.31 – $20.85 | $96.00 | $120 |
| Swedish Edmonds Hospital | $19.89 – $21.24 | — | — |
| Swedish Issaquah | $19.89 – $21.24 | — | — |
| Swedish Medical Center | $19.89 – $21.24 | — | — |
| Swedish Medical Center / Cherry Hill | $19.89 – $21.24 | — | — |
| Tacoma General Allenmore Hospital | $18.92 – $20.82 | $30.80 | $77.00 |
| Three Rivers Hospital | — | $219 – $243 | $219 – $243 |
| University of Washington Medical Ctr | $19.31 – $21.24 | $83.01 | $119 |
| Virginia Mason Medical Center | $13.52 – $853 | — | — |
| Wellfound Behavioral Health Hospital | — | $58.00 | $145 |
| Yakima Valley Memorial | $18.92 – $21.19 | $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