HCPCS G0103
Prostate cancer screening; prostate specific antigen test (psa)
Current codeImmunoassay39 hospitals with prices
What Washington hospitals publish for this code
Medicare (traditional): Traditional Medicare. Applies only to people on original Medicare.
| Hospital | Medicare (traditional) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $106 | $264 |
| Cascade Medical Center | $99.74 | $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 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $30.80 | $77.00 |
| MultiCare Auburn Medical Center | — | $30.80 | $77.00 |
| MultiCare Covington Medical Center | — | $30.80 | $77.00 |
| MultiCare Good Samaritan Hospital | — | $30.80 | $77.00 |
| MultiCare Valley Hospital | — | $81.60 | $204 |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | $13.62 – $23.50 | $27.24 – $47.00 |
| PeaceHealth Peace Island Medical Center | — | $50.70 – $96.85 | $78.00 – $149 |
| PeaceHealth Southwest Medical Cente | — | $201 | $309 |
| PeaceHealth St John Medical Center | — | $87.75 | $135 |
| PeaceHealth St Joseph Medical Center | — | $115 | $177 |
| PeaceHealth United General Medical Center | — | $70.85 | $109 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $106 | $151 |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Skagit Valley Hospital | — | $96.00 | $120 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | $30.80 | $77.00 |
| Three Rivers Hospital | $18.92 – $164 | $219 – $243 | $219 – $243 |
| University of Washington Medical Ctr | — | $83.01 | $119 |
| Virginia Mason Medical Center | — | — | — |
| 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