CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: UCSF Health St. Mary's Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $17
Cash Discount Price: $17
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at UCSF Health St. Mary's Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 0.92x the Medicare baseline. Located in 450 Stanyan St, San Francisco, CA.

Cash / Self-Pay

$17

Average discount available for prompt cash payment at this facility.

Insurance Median

$17

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: $17 (92%)

Insurance Median: $17 (92%)

Cash: $17 (92% of Medicare)

Ins. Median: $17 (92% 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 Shield Ca	$3 - $186	16%
Chinese Community	$3 - $150	16%
Magellan	$3 - $275	16%
Healthsmart	$4 - $321	22%
Kaiser	$4 - $175	22%
Multiplan	$4 - $381	22%
Aetna	$5 - $103	27%
Blue Cross Blue Shield	$5 - $230	27%
Brown Toland	$5 - $18	27%
California Health & Wellness	$5 - $23	27%
Connected Care	$5 - $18	27%
Health Net	$5 - $34	27%
Health Plan San Mateo	$5 - $23	27%
Humana	$5 - $18	27%
Mhn	$5 - $18	27%
Partnership Health Plan	$5 - $23	27%
Sfhp	$5 - $23	27%
United	$5 - $22	27%
Us Behavioral Health	$5 - $230	27%
Kentfield	$14 - $53	76%
Oscar	$16 - $60	87%
Cigna	$80 - $85	435%

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 $17.
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 UCSF Health St. Mary's 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.