CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Saint Agnes Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $24
Cash Discount Price: $3
vs. Medicare Baseline: 1.31x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Saint Agnes Medical Center is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.31x the Medicare baseline. Located in 1303 E Herndon Ave, Fresno, CA.

Cash / Self-Pay

Average discount available for prompt cash payment at this facility.

Insurance Median

$24

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: $3 (16%)

Insurance Median: $24 (131%)

Cash: $3 (16% of Medicare)

Ins. Median: $24 (131% 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
Allegiance	$3 - $180	16%
American Postal Workers Secondary	$3 - $180	16%
Cba Network By Design	$3 - $176	16%
Cigna	$3 - $180	16%
Coventry	$3 - $161	16%
Healthnet	$3 - $190	16%
Network Health	$3 - $176	16%
St Agnes Nicu Valley Childrens Hospital	$3 - $152	16%
Interplan	$4 - $211	22%
Multiplan	$4 - $197	22%
Phcs	$4 - $197	22%
Aetna	$18 - $111	98%
Blue Cross Blue Shield	$18 - $172	98%
Humana	$18	98%
Medicare (plans)	$18 - $19	98%
UnitedHealthcare	$18 - $37	98%
Welbe Health	$19	103%
Align Senior Care	$21	114%
Correctcare Integrated Health	$23	125%
Medi-Cal Healthnet	$25 - $29	136%
Geha	$31	169%
Kaiser Permanente	$32	174%
Advantek Central Usd	$45	245%
Blue Shield - Ca	$52 - $172	283%
Meritain	$105	571%
Trustmark Small Business Benefits	$105	571%
Allied Benefit Systems	$111	604%
Boon Chapman	$111	604%
Hap	$111	604%
Webtpa	$111	604%
Blue Benefit Administrators Of Massachusetts	$172	935%
Blue Care Network	$172	935%
Blue Distinction Transplant	$172	935%
Blue Shield - Id (Regence)	$172	935%
Blue Shield - Ny Highmark Northeastern	$172	935%
Blue Shield - Ny Highmark Western	$172	935%
Blue Shield - Pa (Highmark)	$172	935%
Blue Shield - Wa (Regence)	$172	935%

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 $3.
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 Saint Agnes 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.