CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Desert Valley Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $19
Cash Discount Price: $18
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Desert Valley Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.03x the Medicare baseline. Located in 16850 Bear Valley Rd, Victorville, CA.

Cash / Self-Pay

$18

Average discount available for prompt cash payment at this facility.

Insurance Median

$19

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: $18 (98%)

Insurance Median: $19 (103%)

Cash: $18 (98% of Medicare)

Ins. Median: $19 (103% 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
Aetna	$18 - $50	98%
Alignment	$18	98%
Blue Cross Blue Shield	$18 - $118	98%
Blue Shield Of Ca	$18 - $39	98%
Blue Shield Of Promise	$18 - $19	98%
Choice Physicians Network	$18	98%
Elite Health Plan	$18	98%
Epic Health Plan	$18	98%
Health Net Of Ca	$18 - $27	98%
Heritage Victor Valley Medical Group	$18 - $24	98%
High Desert Pace	$18 - $19	98%
High Desert Primary Care	$18	98%
Inland Empire Foundation For Medical Care	$18	98%
Inland Empire Health Plan	$18 - $27	98%
Medicare (plans)	$18	98%
Molina	$18 - $19	98%
Renal Payor Solutions	$18	98%
The Geo Group Inc	$18	98%
Tricare	$18	98%
UnitedHealthcare	$18 - $31	98%
Vantage Care	$18 - $19	98%
Brand New Day	$19 - $28	103%
Imperial Health Plan Of Ca	$19	103%
Traditional Medi-Cal	$19	103%
Wellpath	$22	120%
Prime Health Services Inc	$23	125%
Workers Compensation	$24	131%
Employer Direct Healthcare	$26	141%
Naphcare	$26	141%

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 $18.
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 Desert Valley 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.