CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Valley Children's Hospital

Billing Code: 84153 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$24
about 1.3× the $18 Medicare rate · typically $18–$52
modeled estimate · not a bill or quote
Medicare pays $18 Fair price $24 Hospital's list price $10

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente CignaHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $2 - $118 11%
Blue Cross Blue Shieldmajor $2 - $182 11%
Aetnamajor $2 - $20 11%
Kaiser Permanentemajor $2 - $38 11%
Health Net $2 - $19 11%
+ 26 smaller / regional plans $2 - $52
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 9300 Valley Childrens Place, Madera, CA 93636
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens