CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Excela Health Latrobe Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $21
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Excela Health Latrobe Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.14x the Medicare baseline. Located in One Mellon Way, Latrobe, PA.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $58 (315%)
Insurance Median: $21 (114%)
Cash: $58 (315% of Medicare)
Ins. Median: $21 (114% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Highmark Advantage Community Blue $17 92%
Upmc For Kids Chip $17 92%
Va $18 98%
Aetna $19 - $42 103%
Amerihealth Caritas $19 - $32 103%
Cigna $19 - $28 103%
Devoted $19 103%
Geisinger $19 - $29 103%
Health Partners Plan $19 103%
Humana $19 103%
Martin'S Point $19 103%
Peak Health $19 - $43 103%
The Health Plan Of West Virginia $19 - $43 103%
United $19 103%
American Health Plan Of Pa $20 109%
Highmark Wholecare $20 - $30 109%
Pa Health And Wellness $20 - $32 109%
Provider Network Of America $20 - $78 109%
Provider Plan Partners Plan $20 109%
Upmc $20 - $31 109%
Upmc Health Plan $21 - $74 114%
Highmark Children'S Health Insurance Program $22 120%
UnitedHealthcare $22 120%
Ambetter / Centene $23 125%
Highmark $25 - $41 136%
Velocity $28 152%
Health Partners Plans $29 158%
Community Blue $37 201%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Mellon Way, Latrobe, PA 15650
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals