CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: San Antonio Regional Hospital
Billing Code: 84153 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84153
- Insurance Median: $21
- Cash Discount Price: $185
- vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at San Antonio Regional Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.14x the Medicare baseline. Located in 999 San Bernardino Road, Upland, CA.
Cash / Self-Pay
$185
Average discount available for prompt cash payment at this facility.
Insurance Median
$21
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: $185 (1006%)
Insurance Median: $21 (114%)
Cash: $185 (1006% of Medicare)
Ins. Median: $21 (114% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $2 - $201 | 11% |
| Blue Cross Blue Shield | $3 - $212 | 16% |
| Epic Health Plan - All Other Plans | $3 - $117 | 16% |
| Blue Shield Epo Ppo - All Other Plans | $4 - $157 | 22% |
| Blue Shield Hmo Pos / Calpers Ppo | $4 - $144 | 22% |
| Ambetter / Centene | $5 - $71 | 27% |
| Pc Inland Valley Scan | $5 - $195 | 27% |
| Pc Inland Valley-All Other Plans | $5 - $195 | 27% |
| Coventry Ccn/First Hlth - All Plans | $6 - $214 | 33% |
| Choicecare Ntwrk-All Plans | $7 - $281 | 38% |
| Multiplan/Phcs - All Plans | $7 - $281 | 38% |
| Foundation Inland Epo-All Other Plans | $8 - $312 | 44% |
| Foundation Inland Ppo | $8 - $332 | 44% |
| Networks By Design - All Plans | $8 - $292 | 44% |
| Zelis Comm-All Other Plans | $8 - $292 | 44% |
| Health Payors - All Plans | $9 - $351 | 49% |
| Interplan - All Plans | $9 - $351 | 49% |
| Aetna | $10 - $390 | 54% |
| Alpha Care Mg Mcal/Hlthy Kids | $10 - $23 | 54% |
| Alpha Care Mg Mcr Adv | $10 - $390 | 54% |
| Central Hlth Plan Mcr Adv-All Plans | $10 - $390 | 54% |
| Clever Care Mcr Adv - All Plans | $10 - $410 | 54% |
| Epic Health Plan Mcr Adv | $10 - $390 | 54% |
| Heritage Prov Ntwrk/Regal Mcal | $10 - $23 | 54% |
| Heritage Prov Ntwrk/Regal Mcr Adv | $10 - $396 | 54% |
| Iehp Mcal | $10 - $27 | 54% |
| Kaiser Medi-Cal | $10 - $22 | 54% |
| La Salle Hp Mcr Adv-All Plans | $10 - $410 | 54% |
| Medi-Cal | $10 - $21 | 54% |
| Molina Medi-Cal | $10 - $24 | 54% |
| Prospect Hp-All Plans | $10 - $390 | 54% |
| Providence Clevercare Mcr Adv | $10 - $390 | 54% |
| Providence Oscar-All Other Plans | $10 - $410 | 54% |
| Wellcare/Easy Choice-All Plans | $10 - $382 | 54% |
| Alpha Care Mg-All Other Plans | $12 - $488 | 65% |
| Healthnet Medi-Cal | $15 | 82% |
| Blue Shield Mcr Adv | $18 | 98% |
| Caremore Mcr Adv - All Plans | $18 | 98% |
| Choice Phycn Ntwrk Mcr Adv-All Other Plans | $18 | 98% |
| Healthnet Mcr Adv | $18 | 98% |
| Heritage Prov Ntwrk/Regal - All Other Plans | $18 - $717 | 98% |
| Humana | $18 | 98% |
| Iehp Mcr Adv | $18 | 98% |
| Inter Valley Hp Mcr Adv- All Plans | $18 | 98% |
| Kindred Mcr Adv-All Plans | $18 | 98% |
| Molina Mcr Adv | $18 | 98% |
| Scan Health Plan Mcr Adv-All Plans | $18 | 98% |
| Tricare | $18 | 98% |
| Universal Care - All Plans | $18 | 98% |
| Zelis Mcr Adv | $19 | 103% |
| Imperial Health Mcr Adv-All Plans | $20 | 109% |
| Kasiser Mcr Adv | $20 | 109% |
| Choice Phycn Ntwrk Op Only | $23 | 125% |
| Molina Exchange-All Other Plans | $24 | 131% |
| Iehp Comm - All Other Plans | $27 | 147% |
| Redlands Employee | $28 | 152% |
| Redlands Hmo-All Other Plans | $29 | 158% |
| Prime Health - All Plans | $32 | 174% |
| Healthnet - All Other Plans | $44 | 239% |
| Blue Shield Epn | $51 | 277% |
| Kaiser Comm - All Other Plans | $51 | 277% |
| Cigna | $67 | 364% |