CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Banner Goldfield Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $23
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Banner Goldfield Medical Center is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.25x the Medicare baseline. Located in 2050 West Southern Avenue, Apache Junction, AZ.
Cash / Self-Pay
$11

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $11 (60%)
Insurance Median: $23 (125%)
Cash: $11 (60% of Medicare)
Ins. Median: $23 (125% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $18 - $77 98%
Arizona Physicians Ipa $18 98%
Banner Health $18 98%
Banner University Health Plan $18 98%
Blue Cross Blue Shield $18 - $53 98%
Care 1St $18 98%
Cigna $18 - $36 98%
Gila River Health Care Corporation $18 98%
Health Choice Arizona, Inc. $18 - $28 98%
Health Net $18 - $27 98%
Humana $18 - $19 98%
Kaiser Foundation Health Plan $18 98%
Mercy Care $18 98%
Triwest Healthcare Alliance Corp - Va Ccn $18 98%
UnitedHealthcare $18 - $41 98%
Upmc Health Plan $18 98%
Wellpoint $18 98%
Carelon $19 103%
Devoted Health Services $19 103%
Arizona Priority Care $20 109%
Gold Kidney Health Plan $20 109%
Hospice Of The Valley $20 109%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $25 136%
Plotkin Health $25 136%
Oscar Health Plan $28 152%
Quiktrip Corporation $30 163%
Arizona Medical Network $39 212%
Provider Network Of America $42 228%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2050 West Southern Avenue, Apache Junction, AZ 85120
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals