CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: University of Michigan Health System

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $19
  • Cash Discount Price: $34
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at University of Michigan Health System is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.03x the Medicare baseline. Located in 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI.
Cash / Self-Pay
$34

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: $34 (185%)
Insurance Median: $19 (103%)
Cash: $34 (185% 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.

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
Point Comfort Underwriters Unaccompanied Children Program $4 - $67 22%
Hap [1023] $5 - $116 27%
Medicaid / KanCare $5 - $78 27%
Metrocare $5 - $73 27%
Priority Health [1038] $5 - $104 27%
Aetna $6 - $102 33%
First Health $6 - $123 33%
Mclaren Health Plan Inc $6 - $101 33%
Plain Church Group $6 - $93 33%
Beaumont Health Network $7 - $108 38%
Cofinity $7 - $110 38%
Confinity Advantage $7 - $102 38%
Nomi Health $7 - $108 38%
Provider Network Of America $7 - $108 38%
UnitedHealthcare $7 - $113 38%
Bronson Healthcare Group $8 - $132 44%
First Agency $8 - $116 44%
Multiplan $8 - $132 44%
Paramount Health Care $8 - $129 44%
Parkview Health Plan Services $8 - $116 44%
Ambetter / Centene $10 54%
Blue Cross Blue Shield $10 - $69 54%
Buckeye Community Health Plan $10 54%
Hap Midwest $10 54%
Molina Healthcare Of Michigan Inc $10 - $19 54%
Priority Health $10 - $155 54%
Blue Care Network Of Michigan $12 - $69 65%
Huron Valley Pace $17 92%
Amerihealth Michigan Inc $18 98%
Humana $18 98%
Medigold Trinity Health Plan Of Michigan $18 98%
Meridian Health Plan Of Michigan Inc $18 98%
Paramount Elite-Ohio $18 98%
Thome Pace $18 98%
Triwest $18 98%
Veteran Affairs Community Care Program $18 98%
Health Alliance Plan $19 103%
Medicare (plans) $19 103%
Zing Health $19 103%
Employee Benefit Logistic $31 169%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI 48109
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals