What does code G0103 cost?

Across the published hospital price files, the disclosed cash price for G0103 ranges from $33.15 to $273. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

G0103 is the billing code hospitals use to identify "HC PSA SCREENING" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

G0103

HCPCS

HC PSA SCREENING

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code G0103 (HC PSA SCREENING) appears at 32 hospitals with disclosed cash prices from $33.15 to $273. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare G0103 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code G0103 vary by about 8.2× across the 28 hospitals with disclosed prices here — from $33.15 to $273. Shopping around can matter.

Hospitals

Prices shown

$33.15

Lowest cash

$273

Highest cash

code G0103 cash price28 disclosed · 28 hospitals

$33.15median ~$77.28$273

Lowest cash price by hospital

Berger Hospital$33.15
Kalkaska Memorial Health Center$44.20
Grady Memorial Hospital$52.00
Mansfield Hospital$53.95
Froedtert Holy Family Memorial Hospital$54.45
Doctors Hospital$54.60

Cash price by city

Reflects your current filters.

Cash price by city$33.15 – $54.60

Circleville · 1 hospital$33.15
Kalkaska · 1 hospital$44.20
Delaware · 1 hospital$52.00
Mansfield · 1 hospital$53.95
Manitowoc · 1 hospital$54.45
Columbus · 2 hospitals$54.60

34 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC PSA SCREENING Inpatient & outpatient	Endeavor Health Edward Hospital	G0103 HCPCS	$251	$251	—	—
PSA Screening Outpatient	Endeavor Health Edward Hospital	G0103 HCPCS	—	—	$19.31 – $32.71	—
Hc Prostate Cancer Screeningl; Psa Inpatient & outpatient	University of Chicago Medical Center	G0103 HCPCS	—	—	—	—
PSA Screening Outpatient	University of Chicago Medical Center	G0103 HCPCS	—	—	—	—
HC PSA SCREENING Outpatient	Froedtert Hospital	G0103 HCPCS	$219	$120	$18.77 – $189	—
HC PSA SCREENING Outpatient	Froedtert Menomonee Falls Hospital	G0103 HCPCS	$213	$117	$19.31 – $192	—
PSA Annual Screen Inpatient	Munson Healthcare Charlevoix Hospital	G0103 HCPCS	$141	$120	$113 – $141	—
PSA Annual Screen Inpatient	Munson Healthcare Manistee Hospital	G0103 HCPCS	$85.00	$72.25	$42.64 – $852	—
PSA screening Outpatient	Aurora Medical Center Fond du Lac	G0103 HCPCS	—	—	$15.45 – $67.78	—
HC PSA SCREENING Inpatient	Froedtert West Bend Hospital	G0103 HCPCS	$213	$117	$128 – $202	—
HC PSA SCREENING Inpatient	Froedtert Holy Family Memorial Hospital	G0103 HCPCS	$99.00	$54.45	$59.40 – $87.12	—
HC PSA SCREENING Inpatient	Froedtert Community Hospital - Mequon	G0103 HCPCS	$181	$99.55	$109 – $159	—
HC PSA SCREENING Outpatient	Froedtert Community Hospital - New Berlin	G0103 HCPCS	$181	$99.55	$19.31 – $159	—
HC PSA SCREENING Inpatient	Froedtert Community Hospital - Oak Creek	G0103 HCPCS	$181	$99.55	$109 – $159	—
PSA Annual Screen Inpatient	Kalkaska Memorial Health Center	G0103 HCPCS	$52.00	$44.20	$38.48 – $852	—
PSA Annual Screen Outpatient	Munson Healthcare Grayling	G0103 HCPCS	$87.00	$73.95	$10.10 – $83.35	—
PSA Annual Screen Inpatient	Munson Healthcare Cadillac	G0103 HCPCS	$87.00	$73.95	$52.20 – $852	—
PSA Annual Screen Outpatient	Munson Medical Center	G0103 HCPCS	$86.00	$73.10	$10.10 – $84.28	—
HC PSA SCREEN Inpatient	Deaconess Gibson Hospital	G0103 HCPCS	$142	$75.26	$57.93 – $128	—
PSA screening Outpatient	The Women's Hospital	G0103 HCPCS	—	—	$7.72 – $47.31	—
HC PSA SCREEN Inpatient	Deaconess Illinois Medical Center	G0103 HCPCS	$753	$143	$143 – $678	—
HC PSA SCREENING MEDICARE Inpatient & outpatient	Providence Alaska Medical Center	G0103 HCPCS	$166	$129	—	—
Labpsas Psa Screening Inpatient & outpatient	Stanford Health Care	G0103 HCPCS	$612	$245	—	—
Labpsas Psa Screening Inpatient & outpatient	Stanford Health Care Tri-Valley	G0103 HCPCS	$612	$245	—	—
Hc Psa Screen Inpatient & outpatient	Berger Hospital	G0103 HCPCS	$51.00	$33.15	—	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish G0103 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Froedtert Hospital Froedtert Menomonee Falls Hospital Munson Healthcare Charlevoix Hospital Munson Healthcare Manistee Hospital Aurora Medical Center Fond du Lac Froedtert West Bend Hospital Froedtert Holy Family Memorial Hospital Froedtert Community Hospital - Mequon Froedtert Community Hospital - New Berlin Froedtert Community Hospital - Oak Creek Kalkaska Memorial Health Center Munson Healthcare Grayling Munson Healthcare Cadillac Munson Medical Center Deaconess Gibson Hospital The Women's Hospital Deaconess Illinois Medical Center Providence Alaska Medical Center Stanford Health Care Stanford Health Care Tri-Valley Berger Hospital Doctors Hospital Dublin Methodist Hospital Grady Memorial Hospital Grant Medical Center Grove City Methodist Hospital Hardin Memorial Hospital Mansfield Hospital University Hospitals Ahuja Medical Center New York Eye and Ear Infirmary of Mount Sinai

Code G0103: frequently asked

What does code G0103 cost?: Across the published hospital price files, the disclosed cash price for G0103 ranges from $33.15 to $273. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code G0103?: G0103 is the billing code hospitals use to identify "HC PSA SCREENING" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code G0103 by state

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