CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: Houlton Regional Hospital
Billing Code: 84153 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$42
about 2.3× the $18 Medicare rate · typically $20–$85
modeled estimate · not a bill or quote
Medicare pays $18 Fair price $42 Cash price $224 Hospital's list price $236
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $211 - $237 | 1147% |
| Blue Cross Blue Shieldmajor | $45 - $110 | 245% |
| Aetnamajor | $100 - $112 | 544% |
| Cignamajor | $202 - $227 | 1098% |
| WellCare | $99 - $111 | 538% |
| + 2 smaller / regional plans | $113 - $219 |
Government programs also on file: Military & VA.
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Other Procedures at Houlton Regional Hospital
Compare: Blood test, PSA (prostate screen) at other ME hospitals
- Central Maine Medical Center · Lewiston $18
- Cary Medical Center · Caribou $18
- Mainehealth Mid Coast Hospital · Brunswick $19
- Mainehealth Pen Bay Hospital · Rockport $19
- Mainehealth Maine Medical Center · Portland $21
- Mainehealth Stephens Hospital · Norway $22
- Mainehealth Franklin Hospital · Farmington $22
- Lincolnhealth · Damariscotta $25
Insurance negotiated median for the same procedure, sorted lowest first.