CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Henry Ford Health Warren Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $19
  • Cash Discount Price: $52
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Henry Ford Health Warren Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.03x the Medicare baseline. Located in 11800 East Twelve Mile Road, Warren, MI.
Cash / Self-Pay
$52

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: $52 (283%)
Insurance Median: $19 (103%)
Cash: $52 (283% 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
Medicare (plans) $17 - $19 92%
Aetna $18 98%
Amerihealth Vip Care $18 98%
Harbor Advantage Hmo $18 98%
Tricare $18 98%
Veterans Choice $18 98%
Humana $19 103%
Meridian Wellcare $19 103%
Molina Advantage $19 103%
Molina Health Link $19 103%
Total Health Care $19 103%
Ambetter / Centene $23 125%
Molina Market Place $23 125%
Ppom $24 131%
Phcs Pos $25 136%
Phcs Ppo $25 136%
Smarthealth $26 141%
Ahlic $28 152%
Hap Hmo $28 152%
Hap Preferred $28 152%
Priority Hmo $30 163%
Aaa-Auto Insurance $35 190%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11800 East Twelve Mile Road, Warren, MI 48093
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals