CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: Monterey Park Hospital
Billing Code: 84153 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84153
- Insurance Median: $16
- Cash Discount Price: $31
- vs. Medicare Baseline: 0.87x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Monterey Park Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 0.87x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$31
Average discount available for prompt cash payment at this facility.
Insurance Median
$16
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: $31 (169%)
Insurance Median: $16 (87%)
Cash: $31 (169% of Medicare)
Ins. Median: $16 (87% 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 |
|---|---|---|
| Employee Health Systems Medical Group | $2 - $97 | 11% |
| Global Care Medical Group Ipa | $2 - $219 | 11% |
| Healthnet/Ehs Capitation | $2 - $97 | 11% |
| Alta Med Health Services Corp | $3 - $122 | 16% |
| Altamed Health Services Corporation | $3 - $49 | 16% |
| Care 1St M Cal | $3 - $49 | 16% |
| Crown City Medical Group Inc | $3 - $49 | 16% |
| Family Health Alliance Medical Group | $3 - $146 | 16% |
| Garfield Medical Center | $3 - $49 | 16% |
| Hispanic Physicians Ipa Medical Corporation | $3 - $122 | 16% |
| Physician Healthways | $3 - $122 | 16% |
| Universal Care M Cal/Advantage Health Network | $3 - $49 | 16% |
| Ahmc Healthcare Inc | $4 - $146 | 22% |
| Ahmc Reciprocity Agreement Senior/Commercial | $4 - $146 | 22% |
| Allied Physicians Ipa | $4 - $146 | 22% |
| Bella Vista Medical Group | $4 - $146 | 22% |
| Blue Shield Of California | $4 - $256 | 22% |
| Community Health Plan M Cal Joy Ipa | $4 - $146 | 22% |
| Esperanza Medical Group Ipa | $4 - $146 | 22% |
| Healthcare Partners Affiliates Medical Group | $4 - $174 | 22% |
| Pacific Independent Physician Association | $4 - $146 | 22% |
| Tenet Reciprocity | $4 - $146 | 22% |
| Central Health Plan Of California | $5 - $194 | 27% |
| Molina Medical Centers | $5 - $190 | 27% |
| Blue Cross Blue Shield | $6 - $243 | 33% |
| Alhambra Community Dialysis Unit Inc | $7 - $292 | 38% |
| Care 1St Health Plan | $7 - $292 | 38% |
| Greater Los Angeles Dialysis Inc | $7 - $292 | 38% |
| Health Net Of California | $7 - $291 | 38% |
| La Care Health Plan | $7 - $267 | 38% |
| One Health Plan | $7 - $775 | 38% |
| Choice Care Network | $8 - $316 | 44% |
| Health Net | $8 - $316 | 44% |
| Health Net Inc | $8 - $344 | 44% |
| Healthnet | $8 - $316 | 44% |
| UnitedHealthcare | $8 - $340 | 44% |
| Universal Care | $8 - $340 | 44% |
| Aetna | $9 - $354 | 49% |
| Interplan | $9 - $364 | 49% |
| Bce Emergis Corp | $10 - $413 | 54% |
| Corvel Corporation | $10 - $925 | 54% |
| Multiplan | $10 - $413 | 54% |
| Preferred Health Network | $10 - $389 | 54% |
| Access Ipa Ancillary | $12 - $17 | 65% |
| Accountable Ipa | $12 - $16 | 65% |
| Ahmc Health Epo | $12 - $23 | 65% |
| Aids Health Foundation | $12 - $18 | 65% |
| Alignment Health Plan | $12 - $18 | 65% |
| Allied Physicians | $12 - $28 | 65% |
| Altamed Health Network | $12 - $18 | 65% |
| Altamed Health Services | $12 - $16 | 65% |
| Apa/Aco Inc | $12 - $18 | 65% |
| Applecare Medical Group | $12 - $16 | 65% |
| Asi Flex Ppo W/C | $12 - $22 | 65% |
| Assess Ipa | $12 - $16 | 65% |
| Associated Hispanic Physicians Ancillary | $12 - $17 | 65% |
| Athens Administrators | $12 - $22 | 65% |
| Avanti | $12 - $22 | 65% |
| Bella Vista Medical Group Ancillary | $12 - $16 | 65% |
| Beverly Hospital | $12 - $20 | 65% |
| Brand New Day | $12 - $23 | 65% |
| Caloptima Direct | $12 - $27 | 65% |
| Care 1St Mcl/Gar Cap | $12 - $16 | 65% |
| Central Health Plan | $12 - $16 | 65% |
| Cms | $12 - $18 | 65% |
| Commercial Non Contract | $12 - $486 | 65% |
| Community Health Plan | $12 - $16 | 65% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $12 - $18 | 65% |
| Easy Choice Health Plan | $12 - $18 | 65% |
| Emanate Health | $12 - $23 | 65% |
| First Health Senior | $12 - $18 | 65% |
| Foundation Health Plan | $12 - $18 | 65% |
| Health Net Medi Cal | $12 - $16 | 65% |
| Healthnet Inc | $12 - $16 | 65% |
| Healthy Way La | $12 - $16 | 65% |
| Hollywood Presbyterian Adv Med Mcal | $12 - $18 | 65% |
| Hollywood Presbyterian Medpoint Mcal | $12 - $18 | 65% |
| Humana | $12 - $18 | 65% |
| Indemnity W Comp Fee Schedule | $12 - $22 | 65% |
| Knox-Keene Act | $12 - $23 | 65% |
| La Care | $12 - $18 | 65% |
| La Care Covered Direct | $12 - $18 | 65% |
| Maxi Med Inc/Ipa | $12 - $18 | 65% |
| Medi Cal | $12 - $18 | 65% |
| Medical Managed Care Program | $12 - $16 | 65% |
| Medicare (plans) | $12 - $19 | 65% |
| Molina Healthcare | $12 - $16 | 65% |
| Molina Healthcare Medi-Connect | $12 - $19 | 65% |
| Molina Healthcare Of California | $12 - $23 | 65% |
| Mri/Ct Greater El Monte Hospital | $12 - $486 | 65% |
| Mri/Mra/Alhambra Hospital | $12 - $486 | 65% |
| Mri/Mra/Eladh | $12 - $486 | 65% |
| One Legacy | $12 - $486 | 65% |
| Other Non-Contracted Medi-Cal | $12 - $16 | 65% |
| Preferred Ipa | $12 - $23 | 65% |
| Preferred Ipa Of California | $12 - $16 | 65% |
| San Miguel Health Plan | $12 - $20 | 65% |
| Scan Health Plan | $12 - $18 | 65% |
| Secure Horizons | $12 - $18 | 65% |
| Self-Pay | $12 - $18 | 65% |
| Senior Citizens Choice | $12 - $16 | 65% |
| Ucla/Impact Cancer | $12 - $18 | 65% |
| Veterans Administration | $12 - $13 | 65% |
| Cigna | $21 | 114% |
| Pacificare | $37 - $74 | 201% |