CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Alaska Regional Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $45
Cash Discount Price: $226
vs. Medicare Baseline: 2.45x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Alaska Regional Hospital is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $226. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 2.45x the Medicare baseline. Located in 2801 Debarr Road, Anchorage, AK.

Cash / Self-Pay

$226

Average discount available for prompt cash payment at this facility.

Insurance Median

$45

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$18.39

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $18.39 (100%)

Cash / Self-Pay: $226 (1229%)

Insurance Median: $45 (245%)

Cash: $226 (1229% of Medicare)

Ins. Median: $45 (245% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $18.39 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 245% of the Medicare baseline (a markup of 145%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Union Coalition	$14 - $119	76%
Moda Health	$15 - $190	82%
Union Coalition Cement Masons	$15 - $124	82%
Triwest Healthcare Alliance	$18	98%
United	$18 - $305	98%
Veteran'S Administration	$18	98%
Veterans Evaluation Services	$23	125%
Premerafirst	$24 - $200	131%
Geha Ppo Usa	$25 - $354	136%
Cigna	$26 - $219	141%
Multiplan	$29 - $376	158%
Coventry Healthcare	$30 - $255	163%
First Health	$34 - $283	185%
Bering Strait School District	$36 - $303	196%
Nreca Group Benefit Trust	$36 - $303	196%
Risk & Benefit Management	$36 - $303	196%
Banner Health	$38 - $323	207%
Matanuska Telephone	$38 - $323	207%
Aetna	$79 - $181	430%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $226.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84153.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Alaska Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84153.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.