CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: El Paso Children's Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $34
Cash Discount Price: $17
vs. Medicare Baseline: 1.85x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at El Paso Children's Hospital is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.85x the Medicare baseline. Located in 4845 Alameda Avenue, El Paso, TX.

Cash / Self-Pay

$17

Average discount available for prompt cash payment at this facility.

Insurance Median

$34

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: $17 (92%)

Insurance Median: $34 (185%)

Cash: $17 (92% of Medicare)

Ins. Median: $34 (185% 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.

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
Amerigroup Tx	$18	98%
Point Comfort Underwriters	$18	98%
Superior	$18	98%
Uh Military Va	$18	98%
El Paso First Health Plan	$19	103%
Health Net Fed Svcs	$19	103%
Blue Cross Blue Shield	$20 - $64	109%
El Paso Health Plans	$20	109%
Molina Tx	$20	109%
Western Sky	$46	250%
Molina Nm	$57	310%
Aetna	$62 - $69	337%
UnitedHealthcare	$62	337%
Cigna	$68	370%
Coventry Health Care	$69	375%
Fortified Provider Network	$69	375%
Multiplan	$69	375%

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 $17.
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 El Paso Children's Hospital 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.