CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: St James Hospital
Billing Code: 84153 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$79
about 4.4× the $18 Medicare rate · typically $41–$109
modeled estimate · not a bill or quote
Medicare pays $18 Fair price $79 Hospital's list price $153
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $19 - $136 | 103% |
| Blue Cross Blue Shieldmajor | $137 - $159 | 745% |
| Aetnamajor | $139 - $151 | 756% |
| Cignamajor | $77 - $151 | 419% |
| Humanamajor | $19 | 103% |
| GEHA | $125 - $136 | 680% |
| PacificSource | $103 - $151 | 560% |
| + 6 smaller / regional plans | $39 - $151 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at St James Hospital
Compare: Blood test, PSA (prostate screen) at other MT hospitals
- Phillips County Hospital - Cah · Malta $15
- Roundup Memorial Healthcare · Roundup $18
- Central Montana Medical Center · Lewistown $25
- Logan Health Medical Center · Kalispell $27
- St. Patrick Hospital · Missoula $29
- Great Falls Clinic Hospital · Great Falls $35
- Stillwater Billings Clinic · Columbus $37
- Logan Health - Whitefish · Whitefish $37
Insurance negotiated median for the same procedure, sorted lowest first.