CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 84153 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84153
- Insurance Median: $16
- Cash Discount Price: $142
- vs. Medicare Baseline: 0.87x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at AHMC Anaheim Regional Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 0.87x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$142
Average discount available for prompt cash payment at this facility.
Insurance Median
$16
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: $142 (772%)
Insurance Median: $16 (87%)
Cash: $142 (772% of Medicare)
Ins. Median: $16 (87% 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 |
|---|---|---|
| Netcare Life And Health Insurance | $2 - $68 | 11% |
| Advance Clinical Research Institute | $3 - $82 | 16% |
| Ahmc Reciprocity Agreement | $3 - $82 | 16% |
| Memorial Healthcare Ipa | $3 - $82 | 16% |
| Medical Acquisition Company | $4 - $109 | 22% |
| Davita Heatlhcare Partners Plan Inc | $5 - $147 | 27% |
| Healthcare Partners Commercial | $5 - $147 | 27% |
| Huntington Memorial Hospital | $5 - $147 | 27% |
| Medicare (plans) | $5 - $136 | 27% |
| Genesis Healthcare Ipa Ancillary | $6 - $164 | 33% |
| Monarch Health Plan | $6 - $185 | 33% |
| Affiliated Health Fund | $7 - $191 | 38% |
| Allnet Preferred Provider | $7 - $191 | 38% |
| Care First | $7 - $191 | 38% |
| Interplan | $7 - $191 | 38% |
| Orange County Preferred Provider Organization | $7 - $205 | 38% |
| Private Healthcare Systems | $7 - $191 | 38% |
| Capp Care | $8 - $205 | 44% |
| Choicecare | $8 - $205 | 44% |
| Corvel | $8 - $205 | 44% |
| First Health | $8 - $232 | 44% |
| Health Net Inc | $8 - $210 | 44% |
| Multiplan Inc | $8 - $205 | 44% |
| National Provider Network | $8 - $218 | 44% |
| Three Rivers Providers Network | $8 - $218 | 44% |
| Alta Los Angeles Hospital | $9 - $17 | 49% |
| Health Payors Organization | $9 - $246 | 49% |
| Prospect Health Plan | $9 - $25 | 49% |
| Aetna | $10 - $100 | 54% |
| Ahmc Health Self-Insurance Epo | $10 - $23 | 54% |
| Aids Health Foundation | $10 - $18 | 54% |
| Align Senior Care | $10 - $19 | 54% |
| Alignment Health Plan | $10 - $18 | 54% |
| Allied Physicians | $10 - $28 | 54% |
| Altamed Health Network | $10 - $18 | 54% |
| Angels Baseball Workers Comp | $10 - $19 | 54% |
| Apa Aco Inc | $10 - $18 | 54% |
| Applecare Medical Group | $10 - $16 | 54% |
| Athens Administrators | $10 - $22 | 54% |
| Avanti | $10 - $22 | 54% |
| Beverly Hospital | $10 - $20 | 54% |
| Blue Cross Blue Shield | $10 - $68 | 54% |
| Blue Shield Of California | $10 - $248 | 54% |
| Brand New Day | $10 - $23 | 54% |
| California Health Plan | $10 | 54% |
| Caloptima | $10 - $23 | 54% |
| Central Health Of California | $10 - $18 | 54% |
| Cigna | $10 - $22 | 54% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $10 - $18 | 54% |
| Emanate Health | $10 - $23 | 54% |
| Health Net | $10 - $16 | 54% |
| Healthcare Partners | $10 - $18 | 54% |
| Healthnet | $10 - $18 | 54% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $10 - $18 | 54% |
| Healthy Way La | $10 - $16 | 54% |
| Heritage Provider Network | $10 - $25 | 54% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $10 - $18 | 54% |
| Hollywood Presbyterian Medpoint Mcal | $10 - $18 | 54% |
| Humana | $10 - $18 | 54% |
| Innovative Integrated Health (Iih)/Orange County Pace | $10 - $18 | 54% |
| Kaiser Foundation Hospitals | $10 - $18 | 54% |
| Knox-Keene Act | $10 - $23 | 54% |
| Marriot Intl | $10 - $22 | 54% |
| Medi-Cal | $10 - $18 | 54% |
| Medical Safety Net Program | $10 - $16 | 54% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $10 - $18 | 54% |
| Nchp | $10 - $19 | 54% |
| Non Contracted Commercial | $10 - $273 | 54% |
| Non Contracted Medi-Cal | $10 - $16 | 54% |
| Non Contracted Workers Comp | $10 - $22 | 54% |
| Pacificare | $10 - $18 | 54% |
| Private Pay Flat Rate | $10 - $18 | 54% |
| Prospect Medical Group | $10 - $17 | 54% |
| Scan Health Plan | $10 - $18 | 54% |
| Self-Pay | $10 - $18 | 54% |
| Seoul Medical Group | $10 - $18 | 54% |
| Talbert Medical Group | $10 - $18 | 54% |
| Tricare | $10 - $20 | 54% |
| Veterans Administration | $10 - $13 | 54% |
| Wellcare | $10 - $18 | 54% |
| Affiliated Doctors Of Orange County | $15 | 82% |
| UnitedHealthcare | $37 - $74 | 201% |
| Monarch Healthcare Medical Group | $46 | 250% |
| Msi/Medical Services For Indigents | $52 | 283% |