CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Healthsource Saginaw

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $870
Cash Discount Price: Unavailable
vs. Medicare Baseline: 47.31x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Healthsource Saginaw is $870. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 47.31x the Medicare baseline. Located in 3340 Hospital Road, Saginaw, MI.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$870

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%)

Insurance Median: $870 (4731%)

Ins. Median: $870 (4731% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 4731% of the Medicare baseline (a markup of 4631%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Humana	$18	98%
Meridian Health Plan	$18 - $659	98%
Molina Healthcare	$18 - $610	98%
Priority Health	$18 - $1,081	98%
Midmichigan Health Network	$1,080	5873%
Southwest Michigan Behavioral Health	$1,081	5878%
Northern Michigan Regional Entity	$1,082 - $1,156	5884%
Lenawee Community Mental Health Authority	$1,112	6047%
Genesse Health System	$1,134	6166%
Lapeer County Community Mental Health	$1,134	6166%
Livingston County Community Mental Health	$1,134	6166%
St. Clair County Community Mental Health	$1,134	6166%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84153.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Healthsource Saginaw is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84153.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.