CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $100
Cash Discount Price: $406
vs. Medicare Baseline: 5.44x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Memorial Hospital for Cancer and Allied Diseases is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $406. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 5.44x the Medicare baseline. Located in 1275 York Ave, New York, NY.

Cash / Self-Pay

$406

Average discount available for prompt cash payment at this facility.

Insurance Median

$100

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: $406 (2208%)

Insurance Median: $100 (544%)

Cash: $406 (2208% of Medicare)

Ins. Median: $100 (544% 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 544% of the Medicare baseline (a markup of 444%). 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
Emblem	$15 - $229	82%
Healthfirst	$29 - $244	158%
Fidelis	$33 - $39	179%
Cigna	$64	348%
Oxford	$74	402%
UnitedHealthcare	$74	402%
Aetna	$95 - $151	517%
Empire	$127 - $158	691%
Magnacare	$260 - $325	1414%
Metroplus	$264	1436%
Urn	$288	1566%
6 Degrees Health	$317	1724%
Multiplan	$365	1985%

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 $406.
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 Memorial Hospital for Cancer and Allied Diseases 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.