CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: Covenant Medical Center
Billing Code: 84153 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$40
about 2.2× the $18 Medicare rate · typically $29–$91
modeled estimate · not a bill or quote
Medicare pays $18 Fair price $40 Cash price $192 Hospital's list price $458
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 | $19 - $30 | 103% |
| Blue Cross Blue Shieldmajor | $80 - $90 | 435% |
| Aetnamajor | $18 - $122 | 98% |
| Cignamajor | $37 | 201% |
Government programs also on file: Medicaid.
Self-Pay How to get the cash price
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Other Procedures at Covenant Medical Center
Compare: Blood test, PSA (prostate screen) at other TX hospitals
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $12
- PAM Specialty Hospital of Texarkana North · Texarkana $14
- Ascension Providence · Waco $15
- University of Texas M. D. Anderson Cancer Center · Houston $15
- PAM Rehabilitation Hospital of Beaumont · Beaumont $15
- PAM Rehabilitation Hospital of Clear Lake · Webster $15
- PAM Health Rehabilitation Hospital of Sugar Land LLC · Sugar Land $15
- Fort Duncan Medical Center · Eagle Pass $16
Insurance negotiated median for the same procedure, sorted lowest first.