CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Los Robles Hospital & Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $26
Cash Discount Price: $164
vs. Medicare Baseline: 1.41x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Los Robles Hospital & Medical Center is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.41x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$164

Average discount available for prompt cash payment at this facility.

Insurance Median

$26

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: $164 (892%)

Insurance Median: $26 (141%)

Cash: $164 (892% of Medicare)

Ins. Median: $26 (141% 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
United	$2 - $444	11%
Health Net	$3 - $643	16%
Medcare Partners	$4 - $237	22%
Aetna	$5 - $1,581	27%
Choicecare Network	$5 - $1,107	27%
First Health	$5 - $1,265	27%
Multiplan	$6 - $1,502	33%
Ppo Next	$6 - $1,265	33%
Interplan Corporation	$7 - $1,423	38%
Ventura County Foundation	$7 - $1,423	38%
Alignment Health Plan	$18	98%
Blue Cross Blue Shield	$18 - $96	98%
Brand New Day	$18 - $23	98%
Central Health Plan	$18	98%
Clever Care Of Golden State	$18	98%
Easy Choice Health Plan	$18	98%
Facey Medical Group	$18 - $24	98%
Humana	$18	98%
La Care	$18	98%
Scan Health Plan	$18	98%
Triwest Healthcare Alliance	$18	98%
Blue Shield	$19 - $388	103%
Care1St Health Plan	$19	103%
Corvel Corporation	$21	114%
Gold Coast Health Plan	$23	125%
Bright Health	$46	250%
Cigna	$65	353%

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 $164.
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 Los Robles Hospital & Medical Center 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.