CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Adventist Health Delano

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $21
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Adventist Health Delano is $21. 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 1.14x the Medicare baseline. Located in 1401 Garces Highway, Delano, CA.
Cash / Self-Pay
$17

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $21 (114%)
Cash: $17 (92% of Medicare)
Ins. Median: $21 (114% 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 Shield Epn - All Other Plans $4 - $36 22%
Blue Cross Blue Shield $6 - $136 33%
Coventry- All Plans $10 - $98 54%
Blue Shield Non-Epn $11 - $106 60%
County Of Kern Network - All Plans $11 - $114 60%
Gem Care- All Plans $11 - $114 60%
Healthnet- All Other Plans $11 - $110 60%
UnitedHealthcare $11 - $117 60%
Foundation For Medical Care Of Kern County - All P $12 - $122 65%
Cigna $13 - $130 71%
Western Growers - All Plans $13 - $132 71%
Dignty Hlth Mcal Op Only $16 - $21 87%
Healthnet Medi-Cal $16 - $25 87%
Kaiser Medi-Cal Ip/Op Only $16 - $21 87%
Kern Health System Mcal $16 - $27 87%
Medi-Cal $16 - $21 87%
Universal Care Mcal $16 - $21 87%
Bakersfield Fam Med Grp-All Plans $18 98%
Healthnet Mcr Adv $18 98%
Kern Mcr Adv Dual Dnsp-All Other Plans $18 98%
Medicare (plans) $18 - $29 98%
Tricare $18 98%
Universal Care Mcr- All Other Plans $18 98%
Kaiser Comm Ip/Op Only- All Other Plans $32 174%
Ah Employee Health Plan - All Plans $33 179%
Centivo - All Plans $41 223%
Aetna $121 658%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 Garces Highway, Delano, CA 93215
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals