CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: Garfield Medical Center
Billing Code: 84153 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84153
- Insurance Median: $12
- Cash Discount Price: $18
- vs. Medicare Baseline: 0.65x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Garfield Medical Center is $12. 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 0.65x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$18
Average discount available for prompt cash payment at this facility.
Insurance Median
$12
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: $12 (65%)
Cash: $18 (98% of Medicare)
Ins. Median: $12 (65% 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 |
|---|---|---|
| Access Ipa Ancillary | $2 - $122 | 11% |
| Allied Physicians Risk Pool | $2 - $142 | 11% |
| Allied Physicians Risk Pool Agreement | $2 - $142 | 11% |
| Associated Hispanic Phys Of So Cal | $2 - $81 | 11% |
| Care First Health Plan | $2 - $40 | 11% |
| Central Health Plan | $2 - $162 | 11% |
| Employee Health Systems Mg | $2 - $81 | 11% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $2 - $162 | 11% |
| Health Net Foundation M Cal (Family Health Alliance) | $2 - $162 | 11% |
| Healthnet Medi Cal Cap | $2 - $142 | 11% |
| Molina Medical Group | $2 - $158 | 11% |
| Pacific Independent Physician Association | $2 - $65 | 11% |
| Phys Assoc Of San Gab Valley | $2 - $162 | 11% |
| Pipa Risk Pool Agreement | $2 - $142 | 11% |
| UnitedHealthcare | $2 - $243 | 11% |
| Allied Physicians Med Grp | $3 - $202 | 16% |
| Blue Cross Blue Shield | $3 - $202 | 16% |
| Blue Shield Of California | $3 - $232 | 16% |
| Health Net | $3 - $340 | 16% |
| Health Net Comm/Hmo | $3 - $223 | 16% |
| La Care Health Plan | $3 - $223 | 16% |
| Aetna | $4 - $295 | 22% |
| Ahmc Healthcare Inc | $4 - $122 | 22% |
| Alhambra Hospital | $4 - $243 | 22% |
| Care 1St Health Plan | $4 - $243 | 22% |
| Family Health Alliance | $4 - $122 | 22% |
| First Health Network | $4 - $284 | 22% |
| Fmc Los Angeles Co Epo | $4 - $304 | 22% |
| Interplan | $4 - $304 | 22% |
| One Health Plan | $4 - $284 | 22% |
| Americas Health Plan | $5 - $344 | 27% |
| Corvel Corporation | $5 - $324 | 27% |
| Health Payors Organization | $5 - $364 | 27% |
| Multiplan | $5 - $344 | 27% |
| Advantage Care Ipa | $6 - $405 | 33% |
| Ahmc Health Epo | $6 - $23 | 33% |
| Aids Health Foundation | $6 - $24 | 33% |
| Alignment Health Plan | $6 - $19 | 33% |
| Allied Physicians | $6 - $28 | 33% |
| Apa Aco Inc | $6 - $18 | 33% |
| Athens Administrators | $6 - $22 | 33% |
| Avanti | $6 - $24 | 33% |
| Beverly Hospital | $6 - $20 | 33% |
| Blue Shield | $6 - $259 | 33% |
| Brand New Day | $6 - $23 | 33% |
| Caloptima Direct | $6 - $27 | 33% |
| Care 1St Mcl/Gar Cap Reciprocity | $6 - $16 | 33% |
| Cms | $6 - $18 | 33% |
| Community Health Plan | $6 - $16 | 33% |
| Cv-19 Hrsa Uninsured Testing And Tx | $6 - $18 | 33% |
| East La Reg Ctr | $6 - $405 | 33% |
| Easy Choice Health Plan | $6 - $18 | 33% |
| Emanate Health | $6 - $23 | 33% |
| Healthy Way La | $6 - $16 | 33% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $6 - $24 | 33% |
| Hollywood Presbyterian Medpoint Mcal | $6 - $24 | 33% |
| Humana | $6 - $18 | 33% |
| Inter Valley Health Plan | $6 - $19 | 33% |
| Knox-Keene Act | $6 - $23 | 33% |
| La Care Covered Direct | $6 - $18 | 33% |
| Molina Healthcare | $6 - $19 | 33% |
| Molina Healthcare Of California | $6 - $23 | 33% |
| National Disaster Medical System | $6 - $20 | 33% |
| Non Contract Commercial | $6 - $405 | 33% |
| Non-Contract Medi-Care | $6 - $18 | 33% |
| One Legacy | $6 - $405 | 33% |
| Other Non-Contracted Workers Compensation | $6 - $22 | 33% |
| Other Non-Contracting Medi-Cal | $6 - $16 | 33% |
| Pacific Alliance Medical Center Comm/Sr | $6 - $18 | 33% |
| Physician Healthways Medical Corporation | $6 - $24 | 33% |
| Physicians Healthways Medi-Cal | $6 - $405 | 33% |
| Physicians Healthways Medical Corporation | $6 - $405 | 33% |
| Preferred Health Network | $6 - $21 | 33% |
| Private Pay | $6 - $405 | 33% |
| San Miguel Health Plan | $6 - $20 | 33% |
| Scan Health Plan Sr Hmo | $6 - $18 | 33% |
| Self-Pay | $6 - $18 | 33% |
| State Of California Medi-Cal | $6 - $24 | 33% |
| Ucla Impact Dept Of Uncology | $6 - $18 | 33% |
| Veterans Administration | $6 - $13 | 33% |
| Chinatown Service Center Pace | $7 - $22 | 38% |
| Health Net Inc | $10 - $30 | 54% |
| Cigna | $20 | 109% |
| Pacificare Of California Inc | $37 | 201% |
| Pacificare Ppo | $37 | 201% |