CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: El Centro Regional Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $15
Cash Discount Price: $11
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at El Centro Regional Medical Center is $15. 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 0.82x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.

Cash / Self-Pay

$11

Average discount available for prompt cash payment at this facility.

Insurance Median

$15

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: $15 (82%)

Cash: $11 (60% of Medicare)

Ins. Median: $15 (82% 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.

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
Aetna	$2 - $79	11%
Pacificare-All Plans	$3 - $112	16%
UnitedHealthcare	$3 - $90	16%
Cigna	$4 - $135	22%
Mulitplan Primary - All Other Plans	$4 - $122	22%
Multiplan Comp	$4 - $144	22%
Ahccs/Medi-Cal Misc - All Plans	$5 - $180	27%
Ambetter / Centene	$5 - $185	27%
Blue Cross Blue Shield	$5 - $180	27%
Brand New Day Mcal	$5 - $180	27%
Healthnet Comm-All Other Plans	$5 - $162	27%
Humana	$5 - $167	27%
Medi-Cal	$5 - $180	27%
Molina Exchange - All Other Plans	$5 - $180	27%
Trident - All Plans	$5 - $153	27%
Molina Mcal	$6 - $198	33%
Brand New Day Comm - All Other Plans	$18	98%
Brand New Day Mcr	$18	98%
Healthnet Mcr Adv	$18	98%
Molina Mcr Adv	$18	98%
Scp Managed Care - All Plans	$18	98%
Tricare	$18	98%
Easy Choice Mcr Adv-All Plans	$20	109%
Healthnet Hmo	$23	125%
Cdcr Correctional-All Plans	$24	131%
Blue Shield-All Plans	$115	625%

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 $11.
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 El Centro Regional Medical Center 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.