CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: Menifee Global Medical Center
Billing Code: 84153 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84153
- Insurance Median: $17
- Cash Discount Price: $113
- vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Menifee Global Medical Center is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 0.92x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
$113
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: $113 (614%)
Insurance Median: $17 (92%)
Cash: $113 (614% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| First Health Commercial | $3 - $116 | 16% |
| Velocity | $3 - $99 | 16% |
| Aetna | $4 - $139 | 22% |
| Multiplan Ppo | $4 - $154 | 22% |
| Multiplan Wcomp | $4 - $154 | 22% |
| Primecare Commercial | $4 - $143 | 22% |
| Cigna | $5 - $176 | 27% |
| Pnoa-Provider Network Of America | $5 - $176 | 27% |
| Prime Health Services Commercial | $5 - $176 | 27% |
| Tricare | $5 - $18 | 27% |
| Altamed Comm Hmo (Ancillary) | $6 - $220 | 33% |
| Altamed Health Services Senior | $6 - $18 | 33% |
| Altamed Mcal Hmo | $6 - $26 | 33% |
| Altamed Mcal/Pace | $6 - $26 | 33% |
| Altamed Sr/Pace | $6 - $18 | 33% |
| Ava Hospice | $6 - $220 | 33% |
| Blue Cross Blue Shield | $6 - $17 | 33% |
| Blue Shield Senior | $6 - $18 | 33% |
| Central Health Plan Senior | $6 - $18 | 33% |
| Choice Physicians Network | $6 - $26 | 33% |
| Clever Care Health Plan Sr | $6 - $18 | 33% |
| Coventry | $6 - $21 | 33% |
| For Your Benefit Senior | $6 - $18 | 33% |
| Guidant Health Plan Senior | $6 - $18 | 33% |
| Health Net Enhanced Ppo | $6 - $26 | 33% |
| Health Net Medi-Cal | $6 - $18 | 33% |
| Health Net Senior | $6 - $18 | 33% |
| Hpn Mcal | $6 - $18 | 33% |
| Hpn Senior | $6 - $18 | 33% |
| Humana | $6 - $18 | 33% |
| Ic | $6 - $220 | 33% |
| Iehp Medi-Cal | $6 - $25 | 33% |
| Imperial Health Plan Of Ca | $6 - $18 | 33% |
| Kaiser Commercial | $6 - $220 | 33% |
| Kaiser Medi-Cal | $6 - $16 | 33% |
| Kaiser Senior | $6 - $18 | 33% |
| Lasalle Medical Assoc (Ancillary) Commercial | $6 - $18 | 33% |
| Lasalle Medical Assoc (Ancillary) Mcal Hmo | $6 - $19 | 33% |
| Lasalle Medical Assoc (Ancillary) Senior | $6 - $18 | 33% |
| Living Waters Hospice | $6 - $220 | 33% |
| Managed Health Network | $6 - $220 | 33% |
| Managed Health Network Sr | $6 - $18 | 33% |
| Medicare (plans) | $6 - $18 | 33% |
| Molina Medi-Cal | $6 - $19 | 33% |
| Neighborhood Healthcare Pace | $6 - $18 | 33% |
| Other Insurance Loa | $6 - $220 | 33% |
| Pacific Valley Hospice | $6 - $220 | 33% |
| Point Comfort Underwriters | $6 - $18 | 33% |
| Prime Health Services Wcomp | $6 - $20 | 33% |
| Primecare Senior | $6 - $18 | 33% |
| Private Pay | $6 - $220 | 33% |
| Prospect Health Plan Mcal Hmo | $6 - $19 | 33% |
| Prospect Health Plan Sr Hmo | $6 - $18 | 33% |
| Scan Senior | $6 - $18 | 33% |
| Self Pay/Ab774/Charity Discount | $6 - $18 | 33% |
| Silverado Hospice | $6 - $220 | 33% |
| Sr Capitation | $6 - $18 | 33% |
| Three Rivers Wcomp | $6 - $22 | 33% |
| UnitedHealthcare | $6 - $22 | 33% |
| Veterans Administration | $6 - $18 | 33% |
| Vna Hospice | $6 - $220 | 33% |
| Workers Comp Non-Contracted | $6 - $22 | 33% |
| Align Senior Care | $7 - $21 | 38% |
| Prime Health Services Senior | $7 - $21 | 38% |
| Welbehealth Sr/Pace | $7 - $21 | 38% |
| Hpn Commercial/Covered Ca | $8 - $26 | 44% |
| Iehp Covered Ca | $8 - $23 | 44% |
| Molina Covered Ca | $8 - $23 | 44% |
| Prospect Health Plan Comm Hmo | $8 - $25 | 44% |
| Health Net Comm | $9 - $28 | 49% |
| Three Rivers Network | $10 - $32 | 54% |
| Blue Shield Epn | $17 - $52 | 92% |
| Blue Shield Commercial | $20 - $61 | 109% |