CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Fairview Bethesda Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $82
Cash Discount Price: $63
vs. Medicare Baseline: 4.46x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Fairview Bethesda Hospital is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 4.46x the Medicare baseline. Located in 45 10Th St W, Saint Paul, MN.

Cash / Self-Pay

$63

Average discount available for prompt cash payment at this facility.

Insurance Median

$82

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: $63 (343%)

Insurance Median: $82 (446%)

Cash: $63 (343% of Medicare)

Ins. Median: $82 (446% 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 446% of the Medicare baseline (a markup of 346%). 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
Health Partners	$15 - $1,146	82%
Blue Cross Blue Shield	$16 - $868	87%
Itasca Medical Care	$18	98%
Medica	$18 - $1,064	98%
Primewest	$18	98%
Sanford Health Plan	$18 - $867	98%
Security Health Plan	$18 - $1,104	98%
South Country Health Alliance	$18	98%
Ucare	$18 - $616	98%
UnitedHealthcare	$18 - $841	98%
Wellcare	$18	98%
Hennepin Health	$20 - $21	109%
America'S Ppo	$32 - $1,060	174%
First Health	$50 - $1,207	272%
Multiplan	$52 - $1,251	283%
Private Healthcare Systems	$52 - $1,251	283%
Wisconsin Physician Services	$55 - $1,325	299%

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 $63.
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 Fairview Bethesda Hospital 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.