CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: NYU Langone Hospitals

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $46
Cash Discount Price: $22
vs. Medicare Baseline: 2.50x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at NYU Langone Hospitals is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 2.50x the Medicare baseline. Located in 550 First Avenue, New York, NY.

Cash / Self-Pay

$22

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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: $22 (120%)

Insurance Median: $46 (250%)

Cash: $22 (120% of Medicare)

Ins. Median: $46 (250% 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 250% of the Medicare baseline (a markup of 150%). 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
Fidelis	$17 - $170	92%
Healthplus	$17 - $170	92%
Ghi	$18 - $131	98%
Healthfirst	$18 - $170	98%
Hip	$18 - $131	98%
Medicare (plans)	$18	98%
Wellcare	$18	98%
Centerlight	$19	103%
Oxford	$20	109%
UnitedHealthcare	$20 - $170	109%
1199	$26	141%
Metroplus	$26 - $170	141%
Hamaspik	$28	152%
Medicaid / KanCare	$31 - $75	169%
Somos	$33 - $102	179%
Cigna	$40	218%
Aetna	$46 - $207	250%
Blue Cross Blue Shield	$48 - $60	261%
Amida	$80 - $83	435%
Magnacare	$95 - $187	517%
Multiplan	$149 - $162	810%

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 $22.
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 NYU Langone Hospitals 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.