CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Redlands Community Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $20
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Redlands Community Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.09x the Medicare baseline. Located in 350 Terracina Blvd, Redlands, CA.
Cash / Self-Pay
$6

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $6 (33%)
Insurance Median: $20 (109%)
Cash: $6 (33% of Medicare)
Ins. Median: $20 (109% 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.

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 $4 - $69 22%
Health Net-All Other Plans $4 - $69 22%
Pacificare (Rmg) - All Other Plans $6 - $112 33%
Heritage/Regal Med Grp Sr $10 - $188 54%
Heritage/Regal Med Grp-All Other Plans $10 - $188 54%
Mhn-All Plans $10 - $188 54%
Blue Shield Ppo/Epo/Hmo - All Other Plans $12 - $224 65%
Aetna $13 - $244 71%
Beaver-All Other Plans $13 - $236 71%
Pinnacle Op Only-All Plans $13 - $236 71%
Rymg Op Only-All Plans $13 - $236 71%
Coventry-All Plans $14 - $262 76%
Multiplan Kaiser $14 - $270 76%
Cigna $15 - $281 82%
Choicecare-All Plans $16 - $300 87%
Interplan - All Plans $16 - $300 87%
Kaiser Medi-Cal $16 87%
Aps-All Plans $17 - $319 92%
Beech Street-All Plans $18 - $338 98%
Epic Health Plan Senior $18 98%
Health Net Healthy Families $18 98%
Health Net Healthy Kids $18 98%
Iehp Health Access Senior $18 98%
Iehp Mcr Adv $18 98%
Kaiser Senior $18 98%
Tricare $18 98%
UnitedHealthcare $18 - $251 98%
Alinment Health Plan Mcr Adv-All Plans $19 103%
Medicare (plans) $19 103%
Health Net Mcr Adv $20 109%
Llumc Sr $20 109%
Medi-Cal $20 - $375 109%
Universal Care-All Plans $20 109%
Caremore Mcr Adv-All Plans $22 120%
Central Health Plan Sr-All Plans $22 120%
Iehp Healthy Family And Kids $22 - $412 120%
Iehp - All Other Plans $23 - $439 125%
Dsh - All Plans $24 131%
Epic Health Plan-All Other Plans $24 131%
Patton Dsh Mcr Adv-All Plans $24 131%
Llumc-All Other Plans $26 141%
Molina Medi-Cal $34 - $636 185%
Blue Shield Mcare $52 283%
Kaiser Comm-All Other Plans $106 576%
Pacificare Bmg/Rymg Groups Only $128 696%
Holman-All Plans $403 2191%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Terracina Blvd, Redlands, CA 92373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals