CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: Adventist Health White Memorial
Billing Code: 84153 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84153
- Insurance Median: $37
- Cash Discount Price: $64
- vs. Medicare Baseline: 2.01x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Adventist Health White Memorial is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 2.01x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$64
Average discount available for prompt cash payment at this facility.
Insurance Median
$37
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: $64 (348%)
Insurance Median: $37 (201%)
Cash: $64 (348% of Medicare)
Ins. Median: $37 (201% 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 201% of the Medicare baseline (a markup of 101%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Blue Shield Epn | $4 - $102 | 22% |
| Blue Shield - All Other Plans | $5 - $119 | 27% |
| Blue Shield Mcr Adv | $5 - $129 | 27% |
| Bc Medi-Cal | $6 | 33% |
| Pacific Ipa - All Other Plans | $6 - $163 | 33% |
| UnitedHealthcare | $6 - $214 | 33% |
| Healthnet - All Other Plans | $7 - $194 | 38% |
| Kaiser- All Plans | $7 - $176 | 38% |
| Caremore Mcare - All Plans | $8 - $214 | 44% |
| Hcpamg - All Plans | $8 - $215 | 44% |
| Healthnet Comm Care | $8 - $200 | 44% |
| Western Growers/Pinnacle - All Plans | $8 - $219 | 44% |
| First Heatlh Ppo - All Plans | $9 - $249 | 49% |
| Healthcare Inc - All Other Plans | $9 - $236 | 49% |
| La Care Mcr Adv - All Plans | $9 - $236 | 49% |
| Phcs Ppo - All Plans | $11 - $279 | 60% |
| Scan Health Mcare - All Plans | $11 - $279 | 60% |
| Ahf - All Plans | $12 - $322 | 65% |
| Beech Street - All Plans | $12 - $322 | 65% |
| Interplan Ppo - All Plans | $12 - $322 | 65% |
| Corvel Corp - All Plans | $13 - $343 | 71% |
| Healthmannet - All Plans | $14 - $365 | 76% |
| Multiplan Ppo - All Plans | $14 - $356 | 76% |
| Next Inc Ppo - All Plans | $14 - $365 | 76% |
| Trpn - All Plans | $14 - $365 | 76% |
| Fpn Ppo - All Plans | $15 - $386 | 82% |
| Access Group | $16 | 87% |
| Access Medi-Cal | $16 - $21 | 87% |
| Ahp - All Other Plans | $16 | 87% |
| Ahp Medi-Cal | $16 - $21 | 87% |
| Alta Los Angeles Mcal 1/1/19 | $16 - $21 | 87% |
| Altamed Medi-Cal - All Other Plans | $16 - $24 | 87% |
| Assoc Hispanic Physcns Mcal | $16 - $30 | 87% |
| Avanti Mcal | $16 - $21 | 87% |
| Bella Vista Medi-Cal Op/Profee Only | $16 - $21 | 87% |
| Blue Shield Medi-Cal | $16 - $53 | 87% |
| Care First Medi-Cal | $16 - $74 | 87% |
| Fcs Ipa Medi-Cal Op/Profee Only | $16 - $25 | 87% |
| Healthcare Inc Medi-Cal | $16 - $21 | 87% |
| Healthnet Mcal | $16 - $25 | 87% |
| Lasalle Mg Commercial - All Other Plans | $16 | 87% |
| Lasalle Mg Medi-Cal | $16 - $21 | 87% |
| Medi-Cal | $16 - $21 | 87% |
| Molina Medi-Cal | $16 - $21 | 87% |
| Pacific Alliance Medi-Cal | $16 - $21 | 87% |
| Pacific Ipa Medi-Cal | $16 - $21 | 87% |
| Preferred Healthy | $16 - $26 | 87% |
| Preferred Ipa La Care Mcal Cap | $16 - $21 | 87% |
| Preferred Medi-Cal | $16 - $21 | 87% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $17 | 92% |
| Access Senior - All Other Plans | $18 | 98% |
| Ahp Senior | $18 | 98% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $18 | 98% |
| Altamed Connect | $18 | 98% |
| Avanti Mcr Adv - All Other Plans | $18 | 98% |
| Brand New Day Mcare - All Plans | $18 | 98% |
| Bs Va Mcare | $18 | 98% |
| Care First Mcare - All Other Plans | $18 | 98% |
| Clever Care - All Plans | $18 | 98% |
| Fcs Ipa Mcr Advan Op/Profee Only | $18 | 98% |
| Humana | $18 | 98% |
| Lasalle Mg Senior | $18 | 98% |
| Medicare (plans) | $18 | 98% |
| Molina Mcare | $18 | 98% |
| Pacific Alliance Mcare - All Other Plans | $18 | 98% |
| Preferred Senior | $18 | 98% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $18 | 98% |
| Tricare | $18 | 98% |
| Blue Cross Blue Shield | $19 - $205 | 103% |
| Fcs Ipa Op/Profee Only - All Other Plans | $19 | 103% |
| Bright Health - All Plans | $21 | 114% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $22 | 120% |
| Preferred Commercial - All Other Plans | $22 | 120% |
| Intergrated Medical - All Plans | $24 | 131% |
| Healthnet Mcr Adv | $25 - $656 | 136% |
| Molina Benefit Exchange - All Other Plans | $25 | 136% |
| Php-Prospect Health Plan Cap - All Plans | $28 | 152% |
| Ah Employee Health Plan - All Plans | $33 | 179% |
| Centivo - All Plans | $41 | 223% |
| Cigna | $77 | 419% |
| Aetna | $97 | 527% |