CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Sherman Oaks Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $5
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 0.27x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Sherman Oaks Hospital is $5. 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 0.27x the Medicare baseline. Located in 4929 Van Nuys Blvd, Sherman Oaks, CA.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $5 (27%)
Cash: $18 (98% of Medicare)
Ins. Median: $5 (27% 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
Aetna $2 - $24 11%
Aids Healthcare Foundation $2 - $19 11%
Alignment $2 - $18 11%
Americas Choice Provider Network $2 - $21 11%
Blue Cross Blue Shield $2 - $26 11%
Blue Shield Of Ca, Va $2 - $18 11%
Blue Shield Of Promise $2 - $19 11%
Brand New Day $2 - $28 11%
Ca Foundation For Medical Center $2 - $24 11%
Corvel $2 - $21 11%
Elite Health Plan $2 - $18 11%
Employer Direct Healthcare $2 - $26 11%
Health Net Of Ca $2 - $27 11%
Healthsmart Preferred Network $2 - $22 11%
Imperial Health Plan $2 - $18 11%
L.A Care Health Plan $2 - $19 11%
Managed Health Network $2 - $18 11%
Medicare (plans) $2 - $18 11%
Molina $2 - $19 11%
Multiplan $2 - $21 11%
Naphcare $2 - $28 11%
Prime Health Services $2 - $21 11%
Provider Network Of America $2 - $22 11%
Provider Select $2 - $22 11%
Renal Payer Solutions $2 - $18 11%
Three Rivers $2 - $21 11%
Traditional Medi-Cal $2 - $19 11%
Tricare $2 - $18 11%
Usa Senior Care Network $2 - $18 11%
Worker Comp $2 - $24 11%
Zelis Healthcare $2 - $21 11%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4929 Van Nuys Blvd, Sherman Oaks, CA 91403
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals