CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Holyoke Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $20
Cash Discount Price: $69
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Holyoke Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.09x the Medicare baseline. Located in 575 Beech Street, Holyoke, MA.

Cash / Self-Pay

$69

Average discount available for prompt cash payment at this facility.

Insurance Median

$20

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: $69 (375%)

Insurance Median: $20 (109%)

Cash: $69 (375% of Medicare)

Ins. Median: $20 (109% 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
Bmchp	$16	87%
Fallon	$16 - $20	87%
Health New England	$16 - $24	87%
Aetna	$18	98%
Blue Cross Blue Shield	$18 - $45	98%
Tufts Health Plan	$18 - $36	98%
UnitedHealthcare	$18 - $31	98%
Commonwealth Care Alliance	$19	103%
Wellcare	$19	103%
Wellsense Sco	$19	103%
Wellsense Direct Metals Silver	$20	109%
Senior Whole Health	$21	114%
Tufts Health Public Plans	$22 - $34	120%
Cigna	$27	147%
Harvard Pilgrim	$31	169%
Gic Unicare	$37	201%

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 $69.
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 Holyoke Medical Center 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.