CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Adventist Health Vallejo

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $14
Cash Discount Price: $2
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Adventist Health Vallejo is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 0.76x the Medicare baseline. Located in 525 Oregon St, Vallejo, CA.

Cash / Self-Pay

Average discount available for prompt cash payment at this facility.

Insurance Median

$14

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: $2 (11%)

Insurance Median: $14 (76%)

Cash: $2 (11% of Medicare)

Ins. Median: $14 (76% 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
Healthnet-All Plans	$2 - $56	11%
UnitedHealthcare	$4 - $193	22%
Blue Shield Behav Hlth	$5 - $136	27%
Blue Shield Epn	$5 - $143	27%
Blue Shield Non-Epn-All Other Plans	$5 - $141	27%
Western Growers-All Plans	$5 - $161	27%
Phcs-All Plans	$6 - $167	33%
Choicecare-All Plans	$7 - $212	38%
Interplan-All Plans	$7 - $197	38%
Beech Street-All Plans	$8 - $227	44%
Cigna	$8 - $242	44%
Kaiser-All Plans	$8 - $255	44%
Galaxy Network-All Plans	$9 - $273	49%
Health Management Network-All Plans	$9 - $258	49%
Three Rivers-All Plans	$9 - $273	49%
Medi-Cal	$10 - $21	54%
Va Medi-Cal	$10 - $21	54%
Blue Shield Mcr Adv	$18	98%
Medicare (plans)	$18	98%
Napa County Mcal Child	$18	98%
Tricare	$18	98%
Va Mcr-All Other Plans	$18	98%
Ah Employee Health Plan-All Plans	$33	179%
Aetna	$108	587%
Blue Cross Blue Shield	$177 - $212	962%

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 $2.
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 Adventist Health Vallejo 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.