CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Adventist Health White Memorial Montebello

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $18
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Adventist Health White Memorial Montebello is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 0.98x the Medicare baseline. Located in 309 W Beverly Blvd, Montebello, CA.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $18 (98%)
Insurance Median: $18 (98%)
Cash: $18 (98% of Medicare)
Ins. Median: $18 (98% 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
Healthnet Salud $4 - $76 22%
Aetna $5 - $94 27%
Healthcare Partners-All Plans $7 - $126 38%
Blue Cross Blue Shield $9 - $170 49%
Altamed Mcal $10 - $21 54%
Bc Mcal $10 - $21 54%
Blue Shield Promise Mcal $10 - $21 54%
Brand New Day Mcal $10 - $21 54%
Healthnet Mcal $10 - $21 54%
Kaiser Mcal $10 - $21 54%
La Care Mcal $10 - $21 54%
Medi-Cal $10 - $21 54%
Molina Mcal - All Plans $10 - $21 54%
Alignment Health Plan-All Plans $18 98%
Altamed Mcare-All Other Plans $18 98%
Blue Shield Mcare Adv $18 98%
Brand New Day Mcare-All Other Plans $18 98%
Brandman Health Plan-All Plans $18 98%
Caremore-All Plans $18 98%
Clever Care Hp-All Plans $18 98%
Easy Choice Mcare Adv-All Plans $18 98%
Healthnet Med Adv $18 98%
Kaiser Mcare Adv $18 98%
Scan Health-All Plans $18 98%
Oscar-All Plans $19 103%
Blue Shield Epn Ifp $26 141%
Cigna $34 185%
Blue Shield Epn Core $271 1474%
Blue Shield Comm - All Other Plans $281 1528%
Healthnet Comm-All Other Plans $515 2800%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 309 W Beverly Blvd, Montebello, CA 90640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals