CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: Trinity Health Oakland Hospital
Billing Code: 84153 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84153
- Insurance Median: $24
- Cash Discount Price: $39
- vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Trinity Health Oakland Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.31x the Medicare baseline. Located in 44405 Woodward Ave, Pontiac, MI.
Cash / Self-Pay
$39
Average discount available for prompt cash payment at this facility.
Insurance Median
$24
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: $39 (212%)
Insurance Median: $24 (131%)
Cash: $39 (212% of Medicare)
Ins. Median: $24 (131% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $8 - $43 | 44% |
| Wc Accident Fund | $8 - $29 | 44% |
| Wc Advantage | $8 - $29 | 44% |
| Wc Aig | $8 - $29 | 44% |
| Wc Allied | $8 - $29 | 44% |
| Wc Amerisure | $8 - $29 | 44% |
| Wc Amtrust | $8 - $29 | 44% |
| Wc Asu Risk Mgt | $8 - $29 | 44% |
| Wc Berkley Admin | $8 - $29 | 44% |
| Wc Broadspire | $8 - $29 | 44% |
| Wc Bunch & Associates | $8 - $29 | 44% |
| Wc Ccmsi | $8 - $29 | 44% |
| Wc Emc Insurance Company | $8 - $29 | 44% |
| Wc Esis | $8 - $29 | 44% |
| Wc Fcci | $8 - $29 | 44% |
| Wc Federated | $8 - $29 | 44% |
| Wc Gallagher Bassett | $8 - $29 | 44% |
| Wc Genex Care For Ohio | $8 - $29 | 44% |
| Wc Guard Insurance Company | $8 - $29 | 44% |
| Wc Hartford | $8 - $29 | 44% |
| Wc Liberty Mutual | $8 - $29 | 44% |
| Wc Meijers | $8 - $29 | 44% |
| Wc Michigan | $8 - $29 | 44% |
| Wc Mitchell Frankenmuth | $8 - $29 | 44% |
| Wc Pma | $8 - $29 | 44% |
| Wc Sedgwick | $8 - $29 | 44% |
| Wc Sentry | $8 - $29 | 44% |
| Wc Travelers | $8 - $29 | 44% |
| Wc Tristar | $8 - $29 | 44% |
| Wc Walmart | $8 - $29 | 44% |
| Wc Zurich | $8 - $29 | 44% |
| Blue Cross Blue Shield | $10 - $19 | 54% |
| Medicaid / KanCare | $10 | 54% |
| Acs Benefit Services | $11 - $41 | 60% |
| Allied Benefit Systems | $11 - $41 | 60% |
| Claimchoice Adminstrators | $11 - $41 | 60% |
| Consociate | $11 - $41 | 60% |
| Cypress Benefit Administrators | $11 - $41 | 60% |
| Forest County Potawatomi | $11 - $41 | 60% |
| Health Smart | $11 - $41 | 60% |
| Healthgram | $11 - $41 | 60% |
| Healthscope | $11 - $41 | 60% |
| Secureone Preferred United Plans | $11 - $41 | 60% |
| Sisco Benefits | $11 - $41 | 60% |
| The Health Plan | $11 - $41 | 60% |
| Trustmark Small Business Benefits | $11 - $41 | 60% |
| Unified Group Services | $11 - $41 | 60% |
| Webtpa | $11 - $41 | 60% |
| Carelon Behavioral Health | $12 - $47 | 65% |
| Mclaren Health | $12 - $49 | 65% |
| Magellan Behavioral Health | $15 - $56 | 82% |
| 1199 National Benefit Fund | $17 - $64 | 92% |
| Allied National Global Care | $17 - $64 | 92% |
| Asrm - Reliance Standard Life Insurance | $17 - $64 | 92% |
| Christian Care Ministry | $17 - $64 | 92% |
| Dean Health | $17 - $64 | 92% |
| Fallon Health | $17 - $64 | 92% |
| Family Life Insurance Company | $17 - $64 | 92% |
| Ghc Scw | $17 - $64 | 92% |
| Group Pension Administrators | $17 - $64 | 92% |
| International Benefit Administrators | $17 - $64 | 92% |
| Lifetime Benefit Solutions | $17 - $64 | 92% |
| Manhattan Life | $17 - $64 | 92% |
| Medi Share | $17 - $64 | 92% |
| Multiplan | $17 - $64 | 92% |
| Mvp | $17 - $64 | 92% |
| Pai | $17 - $64 | 92% |
| Pan-American Life | $17 - $64 | 92% |
| Paramount Hmo | $17 - $64 | 92% |
| Phcs | $17 - $64 | 92% |
| Trinity Health Share | $17 - $64 | 92% |
| Access Health | $18 - $69 | 98% |
| Acclaim | $18 - $69 | 98% |
| Administrative Concepts | $18 - $69 | 98% |
| Align Senior Care | $18 | 98% |
| Allegeant | $18 - $69 | 98% |
| Ameriben | $18 - $69 | 98% |
| American Family | $18 - $69 | 98% |
| American Healthcare Alliance | $18 - $69 | 98% |
| American National | $18 - $69 | 98% |
| American Republic | $18 - $69 | 98% |
| Amerihealth | $18 - $69 | 98% |
| Aultcare | $18 - $69 | 98% |
| Automated Benefit Services | $18 - $69 | 98% |
| Auxiant | $18 - $69 | 98% |
| Benefit Administrative Systems,Llc | $18 - $69 | 98% |
| Blue Care Network Advantage | $18 | 98% |
| Boon Chapman | $18 - $69 | 98% |
| Cam Administrative Services | $18 - $69 | 98% |
| Christian Brother Services | $18 - $69 | 98% |
| Christian Brothers Holy Cross | $18 - $69 | 98% |
| Cigna | $18 - $70 | 98% |
| Comprehensive Benefits | $18 - $69 | 98% |
| Continental Life Insurance | $18 - $69 | 98% |
| Custom Benefit Administrators | $18 - $69 | 98% |
| Employee Benefit Concepts | $18 - $69 | 98% |
| Employee Benefit Management | $18 - $69 | 98% |
| Enterprise Group Planning | $18 - $69 | 98% |
| Freedom Life Insurance Company | $18 - $69 | 98% |
| Group Administrators | $18 - $69 | 98% |
| Group Marketing Services | $18 - $69 | 98% |
| Guardian | $18 - $69 | 98% |
| Hap | $18 - $68 | 98% |
| Health America | $18 - $69 | 98% |
| Health Choices | $18 - $69 | 98% |
| Health Partners | $18 - $68 | 98% |
| Healthcare Management Admin | $18 - $69 | 98% |
| Healthez | $18 - $69 | 98% |
| Hospice Advantage | $18 | 98% |
| Humana | $18 - $69 | 98% |
| Insight | $18 - $69 | 98% |
| Intercare | $18 - $69 | 98% |
| Jfp Benefit Management | $18 - $69 | 98% |
| Jp Farley Corporation | $18 - $69 | 98% |
| Key Benefit Administrator | $18 - $69 | 98% |
| Liberty Union Life Assurance Co | $18 - $69 | 98% |
| Lucent Health | $18 - $69 | 98% |
| Luminare Health | $18 - $69 | 98% |
| Luminare Health (Detroit) | $18 - $69 | 98% |
| Magnacare | $18 - $69 | 98% |
| Medben | $18 - $69 | 98% |
| Medcost | $18 - $69 | 98% |
| Medicare (plans) | $18 | 98% |
| Mutual Health Services | $18 - $69 | 98% |
| Mutual Of Omaha | $18 - $69 | 98% |
| Ncas | $18 - $69 | 98% |
| Nippon Life Ins | $18 - $69 | 98% |
| Nova | $18 - $69 | 98% |
| Painters Union Insurance Fund | $18 - $69 | 98% |
| Physicians Mutual | $18 - $69 | 98% |
| Plumbers Local 98 Insurance Fund | $18 - $69 | 98% |
| Prairie States | $18 - $69 | 98% |
| Preferred One | $18 - $69 | 98% |
| Primary Physician Care | $18 - $69 | 98% |
| Professional Benefit Administrators | $18 - $69 | 98% |
| Siho Insurance Services | $18 - $69 | 98% |
| The Loomis Company | $18 - $69 | 98% |
| Tufts Health Plan | $18 - $68 | 98% |
| Unicare | $18 - $69 | 98% |
| Us Health And Life | $18 - $69 | 98% |
| Valenz | $18 - $69 | 98% |
| Western & Southern Financial Group | $18 - $69 | 98% |
| Wps | $18 - $69 | 98% |
| Bcn Domestic | $19 | 103% |
| Blue Benefit Administrators Of Massachusetts | $19 | 103% |
| Blue Care Network | $19 | 103% |
| Blue Distinction Transplant | $19 | 103% |
| Blue Shield - Ca | $19 | 103% |
| Blue Shield - Id (Regence) | $19 | 103% |
| Blue Shield - Ny Highmark Northeastern | $19 | 103% |
| Blue Shield - Ny Highmark Western | $19 | 103% |
| Blue Shield - Pa (Highmark) | $19 | 103% |
| Blue Shield - Wa (Regence) | $19 | 103% |
| Cca - Zing Health | $19 | 103% |
| Coventry | $19 - $71 | 103% |
| First Health | $19 - $71 | 103% |
| Geha | $19 - $70 | 103% |
| Kaiser Domestic | $19 | 103% |
| UnitedHealthcare | $19 - $70 | 103% |
| Prime Health Services | $20 - $75 | 109% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $21 | 114% |
| Three Rivers Provider Network | $22 - $85 | 120% |
| U Of M Health Plan | $22 | 120% |
| Molina Marketplace | $24 | 131% |
| Cmh Detroit Wayne Integrated Health Network | $25 - $94 | 136% |
| Cmh Lenawee County | $25 - $94 | 136% |
| Cmh Livingston County | $25 - $94 | 136% |
| Cmh Misc | $25 - $94 | 136% |
| Cmh Monroe County | $25 - $94 | 136% |
| Cmh Oakland County | $25 - $94 | 136% |
| Cmh Washtenaw County | $25 - $94 | 136% |
| Medical Mutual | $27 | 147% |
| Meritain | $27 | 147% |
| Health Cost Solutions | $28 | 152% |
| Priority Health | $28 - $31 | 152% |
| Vitalcore | $28 | 152% |
| Wellpath | $28 | 152% |
| Employee Benefit Logistic | $41 | 223% |
| Asr Health Benefits | $61 | 332% |
| Caresource | $61 | 332% |
| Varipro | $61 | 332% |