CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: Coastal Communities Hospital
Billing Code: 84153 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84153
- Insurance Median: $18
- Cash Discount Price: $33
- vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Coastal Communities Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 0.98x the Medicare baseline. Located in 2701 S Bristol St, Santa Ana, CA.
Cash / Self-Pay
$33
Average discount available for prompt cash payment at this facility.
Insurance Median
$18
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: $33 (179%)
Insurance Median: $18 (98%)
Cash: $33 (179% of Medicare)
Ins. Median: $18 (98% 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.
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 |
|---|---|---|
| First Health | $3 - $53 | 16% |
| Cigna | $4 - $66 | 22% |
| Health Net | $4 - $74 | 22% |
| Healthsmart | $4 - $76 | 22% |
| Heritage Provider Network | $4 - $61 | 22% |
| Interplan | $4 - $76 | 22% |
| Kaiser | $4 - $62 | 22% |
| Magellan | $4 - $61 | 22% |
| Multiplan | $4 - $71 | 22% |
| Networks By Design | $4 - $71 | 22% |
| Networks By Design Wc | $4 - $71 | 22% |
| Prime Health | $4 - $76 | 22% |
| Pnoa-Provider Network Of America | $5 - $81 | 27% |
| Prime Health Srvs | $5 - $81 | 27% |
| Prime Health Srvs/Network | $5 - $86 | 27% |
| Prime Health Srvs/Wc | $5 - $20 | 27% |
| Aetna | $6 - $60 | 33% |
| Altamed Health Services | $6 - $26 | 33% |
| Altamed Mcal Hmo (Ancillary) | $6 - $18 | 33% |
| Blue Shield | $6 - $70 | 33% |
| Caloptima | $6 - $26 | 33% |
| Central Health Plan Of California | $6 - $18 | 33% |
| Champion Health Plan | $6 - $18 | 33% |
| Champus | $6 - $20 | 33% |
| Choc Health Alliance | $6 - $26 | 33% |
| Choice Physicians Network | $6 - $18 | 33% |
| Citizens Choice Health Plan | $6 - $18 | 33% |
| Clever Care Health Plan | $6 - $18 | 33% |
| County Of Orange | $6 - $26 | 33% |
| Coventry Auto Network | $6 - $20 | 33% |
| Coventry Wc | $6 - $21 | 33% |
| Easy Choice Health Plan | $6 - $18 | 33% |
| Family Choice | $6 - $26 | 33% |
| For Your Benefit | $6 - $18 | 33% |
| Healthcare Partners | $6 - $18 | 33% |
| Healthcare Partners Sr Hmo | $6 - $18 | 33% |
| Heritage | $6 - $18 | 33% |
| Hollywood Presbyterian | $6 - $18 | 33% |
| Humana | $6 - $18 | 33% |
| Imperial Health Plan Of Ca | $6 - $18 | 33% |
| Innovative Integrated Health | $6 - $18 | 33% |
| Kpc Healthcare Inc | $6 - $26 | 33% |
| Lucet Behavioral Health Sr | $6 - $101 | 33% |
| Managed Health Network | $6 - $101 | 33% |
| Medcare Partners | $6 - $18 | 33% |
| Medi-Cal Hmo/Non Contract | $6 - $18 | 33% |
| Medicaid / KanCare | $6 - $18 | 33% |
| Monarch | $6 - $19 | 33% |
| Onecare | $6 - $18 | 33% |
| Onecare Connect | $6 - $18 | 33% |
| Other Insurance Loa | $6 - $101 | 33% |
| Other Non Contracted Plans | $6 - $101 | 33% |
| Other Senior Non Contract | $6 - $18 | 33% |
| Private Pay | $6 - $101 | 33% |
| Prospect Health Plan | $6 - $28 | 33% |
| Scan Health Plan | $6 - $18 | 33% |
| Self Pay Ab774/Cbo Use Only | $6 - $18 | 33% |
| Three Rivers | $6 - $22 | 33% |
| UnitedHealthcare | $6 - $18 | 33% |
| Us Behavioral Health Plan | $6 - $101 | 33% |
| Us Dept Of Labor | $6 - $18 | 33% |
| Us Federal Marshall/Department Of Immigration | $6 - $18 | 33% |
| Velocity National Provider Network Wc | $6 - $22 | 33% |
| Velocity Provider Network Sr | $6 - $18 | 33% |
| Verda Health Plan Sr | $6 - $18 | 33% |
| Veterans Administration | $6 - $18 | 33% |
| Victim Of Violent Crime | $6 - $18 | 33% |
| Victoria Hospice | $6 - $18 | 33% |
| Vitas Hospice | $6 - $101 | 33% |
| Workers Comp State Of California | $6 - $22 | 33% |
| Brand New Day | $7 - $21 | 38% |
| County Of Orange/Custody/Advanced Medmgt | $8 - $23 | 44% |
| Staywell/Island Home Ins | $8 - $26 | 44% |
| Veterans Evaluation Services | $8 - $23 | 44% |
| Ihhi Reciprocity | $10 - $30 | 54% |
| Three Rivers Network | $10 - $32 | 54% |
| Velocity National Provider Network Ppo | $10 - $32 | 54% |
| Monarch Health Plan | $21 | 114% |