CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Hospital San Francisco

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $26
  • Cash Discount Price: $83
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Hospital San Francisco is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.41x the Medicare baseline. Located in 371 De Diego Ave, San Juan, PR.
Cash / Self-Pay
$83

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $83 (451%)
Insurance Median: $26 (141%)
Cash: $83 (451% of Medicare)
Ins. Median: $26 (141% 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
First Medical $18 - $32 98%
Mso $18 - $24 98%
Plan De Salud Menonita $18 - $22 98%
Triple S $20 - $35 109%
Humana $24 - $30 131%
Mcs $24 - $31 131%
Medicare (plans) $24 131%
Tricare $24 131%
Ch $25 136%
Mpc - Us $25 136%
UnitedHealthcare $25 136%
Us $25 136%
Aarp $26 141%
Pr Other Insurances $26 141%
Comerciales $28 152%
Acaa $30 163%
Cigna $30 163%
Medicaid / KanCare $30 163%
Prossam $30 163%
Va $30 163%
Western Medical Hospice $32 174%
Bl $33 179%
Corvel Network $35 190%
Mpc-Pr Other Insurances $35 190%
Mc $45 245%
Mapfre $58 315%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 371 De Diego Ave, San Juan, PR 00923
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals