CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Saint Joseph Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $144
Cash Discount Price: Unavailable
vs. Medicare Baseline: 7.83x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Saint Joseph Hospital is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 7.83x the Medicare baseline. Located in 1375 E 19Th Ave, Denver, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$144

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%)

Insurance Median: $144 (783%)

Ins. Median: $144 (783% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 783% of the Medicare baseline (a markup of 683%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Cigna	$12 - $482	65%
Geha	$18 - $280	98%
Select Health	$18	98%
UnitedHealthcare	$18 - $280	98%
Blue Cross Blue Shield	$33 - $392	179%
Kaiser Perm Hmo	$36 - $203	196%
Kaiser Self Funded	$44 - $203	239%
Kaiser Perm Ppo/Pos	$45 - $209	245%
Allegiance	$48 - $120	261%
Denv Hlth Med Plan	$48	261%
Kaiser Mrp	$48 - $120	261%
Kaiser Snp	$48 - $120	261%
Aetna	$71 - $432	386%
Preferred One	$77 - $192	419%
Humana	$81 - $202	440%
Cofinity	$138 - $347	750%
First Health Network	$138 - $347	750%
Private Hlthcare Sys	$144 - $362	783%
Multiplan Inc	$161 - $405	875%
Midlands Choice	$186 - $468	1011%

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 $X.
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 Saint Joseph 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.