CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Trinity Health Ann Arbor Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $29
  • Cash Discount Price: $51
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Trinity Health Ann Arbor Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.58x the Medicare baseline. Located in 5301 E Huron River Dr, Ann Arbor, MI.
Cash / Self-Pay
$51

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $51 (277%)
Insurance Median: $29 (158%)
Cash: $51 (277% of Medicare)
Ins. Median: $29 (158% 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 $6 - $24 33%
Wc Accident Fund $7 - $27 38%
Wc Advantage $7 - $27 38%
Wc Aig $7 - $27 38%
Wc Allied $7 - $27 38%
Wc Amerisure $7 - $27 38%
Wc Amtrust $7 - $27 38%
Wc Asu Risk Mgt $7 - $27 38%
Wc Berkley Admin $7 - $27 38%
Wc Broadspire $7 - $27 38%
Wc Bunch & Associates $7 - $27 38%
Wc Ccmsi $7 - $27 38%
Wc Emc Insurance Company $7 - $27 38%
Wc Esis $7 - $27 38%
Wc Fcci $7 - $27 38%
Wc Federated $7 - $27 38%
Wc Gallagher Bassett $7 - $27 38%
Wc Genex Care For Ohio $7 - $27 38%
Wc Guard Insurance Company $7 - $27 38%
Wc Hartford $7 - $27 38%
Wc Liberty Mutual $7 - $27 38%
Wc Meijers $7 - $27 38%
Wc Michigan $7 - $27 38%
Wc Mitchell Frankenmuth $7 - $27 38%
Wc Pma $7 - $27 38%
Wc Sedgwick $7 - $27 38%
Wc Sentry $7 - $27 38%
Wc Travelers $7 - $27 38%
Wc Tristar $7 - $27 38%
Wc Walmart $7 - $27 38%
Wc Zurich $7 - $27 38%
Aetna $9 - $44 49%
Blue Cross Blue Shield $10 - $22 54%
Medicaid / KanCare $10 54%
Acs Benefit Services $12 - $44 65%
Allied Benefit Systems $12 - $44 65%
Claimchoice Adminstrators $12 - $44 65%
Consociate $12 - $44 65%
Cypress Benefit Administrators $12 - $44 65%
Forest County Potawatomi $12 - $44 65%
Health Smart $12 - $44 65%
Healthgram $12 - $44 65%
Healthscope $12 - $44 65%
Secureone Preferred United Plans $12 - $44 65%
Sisco Benefits $12 - $44 65%
The Health Plan $12 - $44 65%
Trustmark Small Business Benefits $12 - $44 65%
Unified Group Services $12 - $44 65%
Webtpa $12 - $44 65%
Huron Valley Pace $17 92%
Align Senior Care $18 98%
Angela Hospice $18 98%
Blue Care Network Advantage $18 98%
Geha $18 - $69 98%
Hospice Advantage $18 98%
Medicare (plans) $18 98%
UnitedHealthcare $18 - $85 98%
1199 National Benefit Fund $19 - $72 103%
Access Health $19 - $72 103%
Acclaim $19 - $72 103%
Administrative Concepts $19 - $72 103%
Allegeant $19 - $72 103%
Allied National Global Care $19 - $72 103%
Ameriben $19 - $72 103%
American Family $19 - $72 103%
American Healthcare Alliance $19 - $72 103%
American National $19 - $72 103%
American Republic $19 - $72 103%
Amerihealth $19 - $72 103%
Asrm - Reliance Standard Life Insurance $19 - $72 103%
Aultcare $19 - $72 103%
Automated Benefit Services $19 - $72 103%
Auxiant $19 - $72 103%
Benefit Administrative Systems,Llc $19 - $72 103%
Boon Chapman $19 - $72 103%
Cam Administrative Services $19 - $72 103%
Cca - Zing Health $19 103%
Christian Brother Services $19 - $72 103%
Christian Brothers Holy Cross $19 - $72 103%
Christian Care Ministry $19 - $72 103%
Cigna $19 - $73 103%
Comprehensive Benefits $19 - $72 103%
Continental Life Insurance $19 - $72 103%
Coventry $19 - $72 103%
Custom Benefit Administrators $19 - $72 103%
Dean Health $19 - $72 103%
Employee Benefit Concepts $19 - $72 103%
Employee Benefit Management $19 - $72 103%
Enterprise Group Planning $19 - $72 103%
Fallon Health $19 - $72 103%
Family Life Insurance Company $19 - $72 103%
Freedom Life Insurance Company $19 - $72 103%
Ghc Scw $19 - $72 103%
Group Administrators $19 - $72 103%
Group Marketing Services $19 - $72 103%
Group Pension Administrators $19 - $72 103%
Guardian $19 - $72 103%
Hap $19 - $72 103%
Health America $19 - $72 103%
Health Choices $19 - $72 103%
Health Partners $19 - $72 103%
Healthcare Management Admin $19 - $72 103%
Healthez $19 - $72 103%
Humana $19 - $72 103%
Insight $19 - $72 103%
Intercare $19 - $72 103%
International Benefit Administrators $19 - $72 103%
Jfp Benefit Management $19 - $72 103%
Jp Farley Corporation $19 - $72 103%
Key Benefit Administrator $19 - $72 103%
Liberty Union Life Assurance Co $19 - $72 103%
Lifetime Benefit Solutions $19 - $72 103%
Lucent Health $19 - $72 103%
Luminare Health $19 - $72 103%
Luminare Health (Detroit) $19 - $72 103%
Magnacare $19 - $72 103%
Manhattan Life $19 - $72 103%
Medben $19 - $72 103%
Medcost $19 - $72 103%
Medi Share $19 - $72 103%
Medical Mutual $19 - $72 103%
Multiplan $19 - $72 103%
Mutual Health Services $19 - $72 103%
Mutual Of Omaha $19 - $72 103%
Mvp $19 - $72 103%
Ncas $19 - $72 103%
Nippon Life Ins $19 - $72 103%
Nova $19 - $72 103%
Pai $19 - $72 103%
Painters Union Insurance Fund $19 - $72 103%
Pan-American Life $19 - $72 103%
Paramount Hmo $19 - $72 103%
Phcs $19 - $72 103%
Physicians Mutual $19 - $72 103%
Plumbers Local 98 Insurance Fund $19 - $72 103%
Prairie States $19 - $72 103%
Preferred One $19 - $72 103%
Primary Physician Care $19 - $72 103%
Professional Benefit Administrators $19 - $72 103%
Siho Insurance Services $19 - $72 103%
The Loomis Company $19 - $72 103%
Trinity Health Share $19 - $72 103%
Tufts Health Plan $19 - $72 103%
Unicare $19 - $72 103%
Us Health And Life $19 - $72 103%
Valenz $19 - $72 103%
Western & Southern Financial Group $19 - $72 103%
Wps $19 - $72 103%
First Health $20 - $74 109%
Prime Health Services $20 - $75 109%
Longevity Ipa Of Michigan Llc Health Plan Isnp $21 114%
Bcn Domestic $22 120%
Blue Benefit Administrators Of Massachusetts $22 120%
Blue Care Network $22 120%
Blue Distinction Transplant $22 120%
Blue Shield - Ca $22 120%
Blue Shield - Id (Regence) $22 120%
Blue Shield - Ny Highmark Northeastern $22 120%
Blue Shield - Ny Highmark Western $22 120%
Blue Shield - Pa (Highmark) $22 120%
Blue Shield - Wa (Regence) $22 120%
Correctional Healthcare Consultants $22 - $84 120%
Kaiser Domestic $22 120%
Three Rivers Provider Network $22 - $85 120%
U Of M Health Plan $22 120%
Molina Marketplace $24 131%
Bcccp-Michigan $25 - $94 136%
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 Washtenaw County $25 - $94 136%
Crime Victim Assistance $25 - $94 136%
Meritain $27 147%
Health Cost Solutions $28 152%
Vitalcore $28 152%
Wellpath $28 152%
Employee Benefit Logistic $41 223%
Priority Health $44 - $49 239%
Asr Health Benefits $60 326%
Caresource $60 326%
Varipro $60 326%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 E Huron River Dr, Ann Arbor, MI 48106
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals