CPT G0103
The standard charge for Prostate cancer screening; prostate specific antigen test (psa) is $101.00. However, the price you pay depends on the rate negotiated by your insurance plan and what portion your insurance plan requires you to contribute towards that amount. Enter your info below to start your estimate.
To calculate an estimate of your cost, you will need two things:
LOCATION
1805 27th Street, Portsmouth, OH, 45662CONTACT
740-356-7602 Visit WebsiteSouthern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.
In compliance with federal law, Southern Ohio Medical Center provides a list of standard charges. These are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient’s unique needs.
I understand that the list of standard charges includes only hospital services and does not contain professional fees for non-Southern Ohio Medical Center physicians or advanced practice providers. It does not contain professional fees for anesthesia, physicians or advanced practice providers.
I understand that a single line item charge may not represent a complete medical service. In general, multiple charge line items are necessary to represent all components of a service (e.g. procedures, supplies, and drugs).
I understand that the list of standard charges is not intended for media use.
I understand prices are the list price of all hospital charges and not necessarily what my insurance company will pay or what I will owe to the hospital. My actual bill may include one or more of list price charges.
The hospital typically accepts a rate that is less than the list charges. Your insurer will determine what you will owe after they have paid their agreed upon amount.
We know that the billing and payment processes may seem overwhelming at times. Please contact our team at 740-356-7602.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$101.00Insurance Discount
-$23.23Price Negotiated by Insurer
$77.77Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$70.07HGB A1C POC
$60.06LIPID PANEL
$41.58OS TSH SENSITIVE S
$146.30VENIPUNCTURE
$17.71This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$81.69Price Negotiated by Insurer
$19.31Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$10.56HGB A1C POC
$9.71LIPID PANEL
$13.39OS TSH SENSITIVE S
$16.80VENIPUNCTURE
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$81.69Price Negotiated by Insurer
$19.31Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) AND AUTOMATED DIFFERENTIAL WBC COUNT
$7.77COMPREHEN METABOLIC PANEL
$10.56HGB A1C POC
$9.71LIPID PANEL
$13.39OS TSH SENSITIVE S
$16.80VENIPUNCTURE
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$19.90Price Negotiated by Insurer
$81.10Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$73.07HGB A1C POC
$62.63LIPID PANEL
$43.36OS TSH SENSITIVE S
$152.57VENIPUNCTURE
$18.47This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$73.97Price Negotiated by Insurer
$27.03Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) AND AUTOMATED DIFFERENTIAL WBC COUNT
$10.88COMPREHEN METABOLIC PANEL
$14.78HGB A1C POC
$13.59LIPID PANEL
$18.75OS TSH SENSITIVE S
$23.52VENIPUNCTURE
$12.73This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$81.69Price Negotiated by Insurer
$19.31Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) AND AUTOMATED DIFFERENTIAL WBC COUNT
$10.49COMPREHEN METABOLIC PANEL
$10.56HGB A1C POC
$9.71LIPID PANEL
$13.39OS TSH SENSITIVE S
$16.80VENIPUNCTURE
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$50.50Price Negotiated by Insurer
$50.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$45.50HGB A1C POC
$39.00LIPID PANEL
$27.00OS TSH SENSITIVE S
$95.00VENIPUNCTURE
$11.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$17.17Price Negotiated by Insurer
$83.83Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$75.53HGB A1C POC
$64.74LIPID PANEL
$44.82OS TSH SENSITIVE S
$157.70VENIPUNCTURE
$19.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$5.05Price Negotiated by Insurer
$95.95Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$86.45HGB A1C POC
$74.10LIPID PANEL
$51.30OS TSH SENSITIVE S
$180.50VENIPUNCTURE
$21.85This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$15.15Price Negotiated by Insurer
$85.85Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$77.35HGB A1C POC
$66.30LIPID PANEL
$45.90OS TSH SENSITIVE S
$161.50VENIPUNCTURE
$19.55This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$81.69Price Negotiated by Insurer
$19.31Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$10.56HGB A1C POC
$9.71LIPID PANEL
$13.39OS TSH SENSITIVE S
$16.80VENIPUNCTURE
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$81.69Price Negotiated by Insurer
$19.31Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) AND AUTOMATED DIFFERENTIAL WBC COUNT
$7.77COMPREHEN METABOLIC PANEL
$10.56HGB A1C POC
$9.71LIPID PANEL
$13.39OS TSH SENSITIVE S
$16.80VENIPUNCTURE
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$81.50Price Negotiated by Insurer
$19.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$10.67HGB A1C POC
$9.81LIPID PANEL
$13.52OS TSH SENSITIVE S
$16.97VENIPUNCTURE
$9.18This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$18.18Price Negotiated by Insurer
$82.82Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$74.62HGB A1C POC
$63.96LIPID PANEL
$44.28OS TSH SENSITIVE S
$155.80VENIPUNCTURE
$18.86This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$26.46Price Negotiated by Insurer
$74.54Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$67.16HGB A1C POC
$57.56LIPID PANEL
$39.85OS TSH SENSITIVE S
$140.22VENIPUNCTURE
$16.97This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$77.83Price Negotiated by Insurer
$23.17Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) AND AUTOMATED DIFFERENTIAL WBC COUNT
$9.32COMPREHEN METABOLIC PANEL
$12.67HGB A1C POC
$11.65LIPID PANEL
$16.07OS TSH SENSITIVE S
$20.16VENIPUNCTURE
$10.91This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$81.30Price Negotiated by Insurer
$19.70Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$10.77HGB A1C POC
$9.90LIPID PANEL
$13.66OS TSH SENSITIVE S
$17.14VENIPUNCTURE
$9.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$12.12Price Negotiated by Insurer
$88.88Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$80.08HGB A1C POC
$68.64LIPID PANEL
$47.52OS TSH SENSITIVE S
$167.20VENIPUNCTURE
$20.24This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$25.25Price Negotiated by Insurer
$75.75Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$68.25HGB A1C POC
$58.50LIPID PANEL
$40.50OS TSH SENSITIVE S
$142.50VENIPUNCTURE
$17.25This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$20.20Price Negotiated by Insurer
$80.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$72.80HGB A1C POC
$62.40LIPID PANEL
$43.20OS TSH SENSITIVE S
$152.00VENIPUNCTURE
$18.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$13.13Price Negotiated by Insurer
$87.87Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$79.17HGB A1C POC
$67.86LIPID PANEL
$46.98OS TSH SENSITIVE S
$165.30VENIPUNCTURE
$20.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$31.31Price Negotiated by Insurer
$69.69Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$62.79HGB A1C POC
$53.82LIPID PANEL
$37.26OS TSH SENSITIVE S
$131.10VENIPUNCTURE
$15.87This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$4.04Price Negotiated by Insurer
$96.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$87.36HGB A1C POC
$74.88LIPID PANEL
$51.84OS TSH SENSITIVE S
$182.40VENIPUNCTURE
$22.08This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$101.00Insurance Discount
-$12.12Price Negotiated by Insurer
$88.88Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COMPREHEN METABOLIC PANEL
$80.08HGB A1C POC
$68.64LIPID PANEL
$47.52OS TSH SENSITIVE S
$167.20VENIPUNCTURE
$20.24This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.