CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Elmhurst Hospital Center

Billing Code: 84153 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$32
about 1.8× the $18 Medicare rate · typically $21–$66
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
About the fair price
about $1 under the fair price · 1.7× Medicare
Medicare pays $18 Fair price $32 This hospital $31 Hospital's list price $77

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $13 Priciest $31

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Blood test, PSA (prostate screen) is about $32 (about 1.8× the $18 Medicare rate). Elmhurst Hospital Center charges insurers about $31 — about the fair price. Located in Elmhurst, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $27 - $38 147%
Blue Cross Blue Shieldmajor $30 - $68 163%
Aetnamajor $14 - $54 76%
Cignamajor $45 245%
Fidelis Care $18 - $68 98%
MagnaCare $22 120%
Oscar Health $28 152%
WellCare $46 250%
+ 13 smaller / regional plans $15 - $68
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals