CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Chinese Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $50
Cash Discount Price: $71
vs. Medicare Baseline: 2.72x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Chinese Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 2.72x the Medicare baseline. Located in 845 Jackson St, San Francisco, CA.

Cash / Self-Pay

$71

Average discount available for prompt cash payment at this facility.

Insurance Median

$50

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: $71 (386%)

Insurance Median: $50 (272%)

Cash: $71 (386% of Medicare)

Ins. Median: $50 (272% 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 272% of the Medicare baseline (a markup of 172%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$9 - $44	49%
Aetna	$18 - $95	98%
Cchp Mcr Adv	$18	98%
Jade Mcr Adv	$18	98%
Jade-All Other Plans	$20	109%
On Lok Mcr Adv-All Plans	$20	109%
Medi-Cal	$21	114%
San Francisco Health Plan- All Plans	$21	114%
Health Net-All Plans	$26 - $127	141%
Hp Of San Mateo Medi-Cal	$26	141%
Blue Shield Medi-Cal	$28	152%
Cigna	$28 - $132	152%
Hp Of San Mateo Health Kids/Health Worx-All Other	$28	152%
Asian Medical Group Medi-Cal Op Only	$30	163%
Jade Medi-Cal	$38	207%
Cchp-All Other Plans	$42 - $204	228%
Hp Of San Mateo Mcr Adv	$45 - $216	245%
Asian Medical Group Mcare Op Only-All Other Plans	$50 - $240	272%
Bay Area Accountable Care Mcare	$50 - $240	272%
Bay Area Accountable Care - All Other Plans	$90 - $432	489%
Blue Shield - All Other Plans	$261	1419%

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 $71.
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 Chinese Hospital 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.