CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Casa Colina Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $25
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 1.36x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Casa Colina Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.36x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $24 (131%)
Insurance Median: $25 (136%)
Cash: $24 (131% of Medicare)
Ins. Median: $25 (136% 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
Heritage Prvdr Ntwrk Mcal $15 82%
Promed Hlth Ntwrk Op Only - All Plans $17 92%
Prospect Hp Mcal $17 92%
UnitedHealthcare $17 - $18 92%
Aetna $18 - $40 98%
Blue Cross Blue Shield $18 - $65 98%
Blue Shield Mcr Adv $18 98%
Caremore Mcr Adv - All Plans $18 98%
Central Hlth Plan - All Plans $18 98%
Doctors Managed Op Only - All Plans $18 98%
Empire Healthcare Op Only - All Plans $18 98%
Epic Comm - All Other Plans $18 98%
Epic Mcr Adv $18 98%
Focus Healthcare Wc - All Plans $18 98%
Healthnet Mcr Adv $18 98%
Humana $18 - $55 98%
Iehp - All Other Plans $18 98%
Iehp Mcr Adv $18 98%
Kaiser Comm - All Other Plans $18 98%
Kaiser Mcr Adv $18 98%
Premiercare Op Only - All Plans $18 98%
Prospect Hp Mcr Adv $18 98%
Triwest - All Plans $18 98%
Wellcare Mcr Adv - All Plans $18 98%
Prospect Hp Comm - All Other Plans $20 109%
Medi-Cal $21 114%
Heritage Prvdr Ntwrk Comm - All Other Plans $22 - $44 120%
Heritage Prvdr Ntwrk Mcr $22 - $44 120%
Affiliated Hlth Funds - All Plans $23 125%
Healthnet Comm - All Other Plans $23 - $45 125%
Kaiser Mcal $23 125%
Cigna $27 147%
Corvel - All Plans $28 - $55 152%
Coventry - All Plans $28 - $55 152%
Multiplan - All Plans $28 - $55 152%
Three Rivers - All Plans $28 - $55 152%
Brand New Day Mcr Adv - All Plans $33 - $66 179%
Galaxy Provdr Ntwrk - All Plans $39 - $77 212%
Healthcare Partners - All Other Plans $44 - $88 239%
Healthcare Partners Mcr $44 - $88 239%
Primecare Comm - All Other Plans $44 - $88 239%
Primecare Mcr Adv $44 - $88 239%
Prospect Med Grp Alta - All Plans $47 - $94 256%
Iehp Mcal $53 288%
Blue Shield Comm - All Other Plans $81 440%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals