CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Good Samaritan Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $19
Cash Discount Price: $31
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Good Samaritan Medical Center is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.03x the Medicare baseline. Located in 235 North Pearl Street, Brockton, MA.

Cash / Self-Pay

$31

Average discount available for prompt cash payment at this facility.

Insurance Median

$19

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: $31 (169%)

Insurance Median: $19 (103%)

Cash: $31 (169% of Medicare)

Ins. Median: $19 (103% 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
Fallon Healthcre Aco [1121]	$16	87%
Hlth New England Aco [1123]	$16	87%
Mass General Brigham Health Plan Aco [1120]	$16	87%
Mass General Brigham Health Plan Mcd Mnged [1107]	$16	87%
Medicaid / KanCare	$16	87%
Tufts Together Aco [1122]	$16	87%
Tufts Together Mco [1125]	$16	87%
Wellsense Alli Aco [1118]	$16	87%
Wellsense Essential Mco [1101]	$16	87%
Aetna	$18 - $54	98%
Blue Cross Blue Shield	$18 - $45	98%
Humana	$18	98%
Medicare (plans)	$18 - $19	98%
Neighborhood Pace [1206]	$18	98%
Ubh Hphc [8016]	$18	98%
United Community Plan [1202]	$18	98%
UnitedHealthcare	$18	98%
Veterans Admin [9003]	$18	98%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010]	$18	98%
Cca [1215]	$19	103%
Eternalhealth [1227]	$19	103%
Zzzcca Onecare [1216]	$19	103%
Fallon [8008]	$24	131%
Senior Whole Health [1210]	$28	152%
Unicare [8004]	$32	174%
Wellpoint [2034]	$32	174%
Mass General Brigham Health Plan Commercial [8009]	$40	218%
Mass General Brigham Health Plan Prime [7003]	$40	218%
Cigna	$41 - $53	223%
Tufts [8002]	$45 - $53	245%
Meritain Health [1023]	$54	294%
Harvard Pilgrim Health Care [8001]	$70	381%
Hsn Bad Debt [4003]	$395	2148%
Hsn Confidential [4007]	$395	2148%
Hsn Dental [4006]	$395	2148%
Hsn Partial [4002]	$395	2148%
Hsn [4001]	$395	2148%

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 $31.
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 Good Samaritan 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.