CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: HCA Healthone Rose

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $45
Cash Discount Price: $1,275
vs. Medicare Baseline: 2.45x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at HCA Healthone Rose is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,275. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 2.45x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.

Cash / Self-Pay

$1,275

Average discount available for prompt cash payment at this facility.

Insurance Median

$45

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: $1,275 (6933%)

Insurance Median: $45 (245%)

Cash: $1,275 (6933% of Medicare)

Ins. Median: $45 (245% 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 245% of the Medicare baseline (a markup of 145%). 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	$8 - $816	44%
Aetna	$18 - $673	98%
Blue Cross Blue Shield	$18 - $944	98%
Bright Health	$18 - $382	98%
Devoted Health	$18	98%
Humana	$18	98%
Mutual Of Omaha	$18	98%
Rocky Mountain Health	$18	98%
Rocky Mountain Health Plan	$18	98%
Total Longterm Care	$18	98%
Triwest Health Alliance	$18	98%
United	$18 - $574	98%
Delaware Life Insurance	$19	103%
Innovage Pace	$19	103%
Kaiser	$19 - $332	103%
Wellcare	$19	103%
Vail Health	$194	1055%
Colorado Program For Children With Special Needs	$574	3121%
Western Plains Community Health	$829	4508%
Multiplan	$892 - $1,148	4850%
Northcare	$892	4850%
Physician Health Partners	$892	4850%
Pinnacol Workers Comp	$956	5198%
Medical Development International	$1,020	5546%
Rocky Mtn Planned Parenthood	$1,084	5895%
Prime Health	$1,148	6243%

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 $1,275.
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 HCA Healthone Rose 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.