CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Martin Luther King, Jr. Community Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $17
Cash Discount Price: $4
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Martin Luther King, Jr. Community Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 0.92x the Medicare baseline. Located in 1680 East 120Th Street, Los Angeles, CA.

Cash / Self-Pay

Average discount available for prompt cash payment at this facility.

Insurance Median

$17

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: $4 (22%)

Insurance Median: $17 (92%)

Cash: $4 (22% of Medicare)

Ins. Median: $17 (92% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Health Net	$6 - $43	33%
Blue Shield Of California	$9 - $10	49%
Preferred Professional Medical Corporation (Ipa) Of California	$11	60%
Brand New Day	$13 - $18	71%
Alta	$16 - $18	87%
Care1St Health	$16 - $18	87%
Heritage Provider Network (Hpn)	$17	92%
Molina Healthcare	$17 - $23	92%
Multiplan	$17	92%
La Care Health Pasc-Seui	$22	120%
La Care Health Plan	$22	120%
UnitedHealthcare	$25	136%
La Care Health	$29	158%
Santa Monica Unite Here	$65	353%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $4.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84153.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Martin Luther King, Jr. Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84153.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.