CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: Whittier Hospital Medical Center
Billing Code: 84153 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84153
- Insurance Median: $20
- Cash Discount Price: $21
- vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Whittier Hospital Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.09x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$21
Average discount available for prompt cash payment at this facility.
Insurance Median
$20
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: $21 (114%)
Insurance Median: $20 (109%)
Cash: $21 (114% of Medicare)
Ins. Median: $20 (109% 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 |
|---|---|---|
| Physician Healthways | $2 - $43 | 11% |
| Physicians Healthways Medical Corporation | $6 - $107 | 33% |
| Ahmc Reciprocity | $7 - $128 | 38% |
| Ahmc Reciprocity Agreement Senior/Commercial | $7 - $128 | 38% |
| Pacific Independent Physician Association | $7 - $128 | 38% |
| Wear And Wood | $7 - $171 | 38% |
| Blue Cross Blue Shield | $8 - $214 | 44% |
| Edward Medical Group | $8 - $150 | 44% |
| UnitedHealthcare | $8 - $372 | 44% |
| Molina Medical Center | $9 - $167 | 49% |
| Central Health Plan Of California | $10 - $171 | 54% |
| Allied Physicians Ipa | $11 - $193 | 60% |
| Blue Shield Of California | $12 - $256 | 65% |
| La Care Health Plan | $13 - $235 | 71% |
| Prospect Medical | $13 - $235 | 71% |
| Veterans Administration | $13 | 71% |
| Care 1St Health Plan | $14 - $257 | 76% |
| Health Net | $14 - $256 | 76% |
| New Horizon Medical Group Inc | $14 - $257 | 76% |
| Cost Containment | $15 - $278 | 82% |
| Davita Healthcare Partners | $15 - $278 | 82% |
| Health Net Inc | $15 - $278 | 82% |
| Universal Care | $15 - $300 | 82% |
| Ahmc Medi-Cal Reciprocity Agreement | $16 | 87% |
| Aids Healthcare Foundation | $16 - $18 | 87% |
| Allied Physicians | $16 - $28 | 87% |
| Alta Med Health Network | $16 - $18 | 87% |
| Altamed Health Services Corporation | $16 | 87% |
| Beverly Hospital | $16 - $20 | 87% |
| Brand New Day | $16 - $23 | 87% |
| Emanate Health | $16 - $23 | 87% |
| Healthnet | $16 - $297 | 87% |
| Healthy Way La | $16 | 87% |
| Heritage Provider Network | $16 - $25 | 87% |
| Kaiser Foundation | $16 - $300 | 87% |
| La Care Healthy Families/Healthy Kids | $16 | 87% |
| Non Contracted Medi-Cal | $16 | 87% |
| Prospect Health Plan | $16 - $29 | 87% |
| Synermed | $16 - $18 | 87% |
| Aetna | $17 - $312 | 92% |
| Asi/Flex | $17 - $300 | 92% |
| Capnet | $17 | 92% |
| Us Comp Care | $17 - $300 | 92% |
| Value Healthplan Of California | $17 - $300 | 92% |
| Alignment Health Plan | $18 | 98% |
| Alta Los Angeles Hospitals Inc | $18 | 98% |
| Apa/Aco Inc | $18 | 98% |
| Avanti | $18 - $24 | 98% |
| Caloptima | $18 - $23 | 98% |
| Care First Health Plan | $18 - $24 | 98% |
| Caremore | $18 | 98% |
| Central Health Plan | $18 | 98% |
| Community Care Network | $18 - $321 | 98% |
| County Of Los Angeles Dept Of Health Services | $18 - $24 | 98% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $18 | 98% |
| Coventry Health Care | $18 - $321 | 98% |
| Coventry Health Care National Network | $18 - $321 | 98% |
| Easy Choice Health Plan | $18 | 98% |
| Fmc Los Angeles County | $18 - $321 | 98% |
| Hollywood Presbyterian Adv Med Mcal | $18 - $24 | 98% |
| Hollywood Presbyterian Medpoint Mcal | $18 - $24 | 98% |
| Humana | $18 | 98% |
| Interplan Corporation | $18 - $321 | 98% |
| La Care Covered Direct | $18 | 98% |
| Managed Care Administrators | $18 - $321 | 98% |
| Medi Caid/ Medi Cal | $18 - $24 | 98% |
| Medicare (plans) | $18 - $19 | 98% |
| Pacific Alliance Medical Center | $18 | 98% |
| Pacificare Of California | $18 | 98% |
| Private Pay | $18 | 98% |
| Prohealth | $18 - $321 | 98% |
| Scan Health Plan | $18 | 98% |
| Self-Pay | $18 | 98% |
| Molina Healthcare Of California | $19 | 103% |
| Multiplan | $20 - $364 | 109% |
| San Miguel Health Plan | $20 | 109% |
| Cigna | $21 | 114% |
| Interplan Health Group | $21 | 114% |
| Tricare | $21 | 114% |
| Applecare Medical Group | $22 | 120% |
| Athens Administrators Ahmc Work Comp | $22 | 120% |
| Chinatown Service Center Pace | $22 | 120% |
| Misc 1 | $22 | 120% |
| Multiplan Wc | $22 | 120% |
| Ahmc Health | $23 | 125% |
| Knox-Keene Act | $23 | 125% |
| Monarch Healthplan | $23 | 125% |
| Commercial Non Contract | $24 - $428 | 131% |
| Medi-Cal Sub Acute | $24 - $428 | 131% |
| One Legacy | $24 - $428 | 131% |
| Great-West Healthcare Of California | $2,500 | 13594% |