CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Sharp Chula Vista Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $14
Cash Discount Price: $15
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Sharp Chula Vista Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 0.76x the Medicare baseline. Located in 751 Medical Center Court, Chula Vista, CA.

Cash / Self-Pay

$15

Average discount available for prompt cash payment at this facility.

Insurance Median

$14

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: $15 (82%)

Insurance Median: $14 (76%)

Cash: $15 (82% of Medicare)

Ins. Median: $14 (76% 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
Blue Cross Blue Shield	$2 - $1,220	11%
Blue Shield	$2 - $103	11%
Cigna	$2 - $103	11%
Epic Americas	$2 - $96	11%
Indian Health Council	$2 - $132	11%
Kaiser	$2 - $96	11%
Managed Health Network	$2 - $94	11%
Medi-Cal	$2 - $101	11%
Aetna	$3 - $144	16%
County Medical Services	$3 - $81	16%
Health Net	$3 - $2,796	16%
Molina	$3 - $101	16%
UnitedHealthcare	$3 - $118	16%
Community Health Group	$4 - $118	22%
Medicare (plans)	$4 - $98	22%
Multiplan	$4 - $144	22%
San Diego Pace	$6 - $132	33%
Humana	$9 - $103	49%
Interplan	$10 - $103	54%
Allianz Global Assistance	$11 - $93	60%
California Health And Wellness	$18 - $103	98%

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 $15.
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 Sharp Chula Vista 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.