CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Holy Cross Hospital - Salt Lake

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $162
Cash Discount Price: $137
vs. Medicare Baseline: 8.81x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Holy Cross Hospital - Salt Lake is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $137. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 8.81x the Medicare baseline. Located in 1050 East South Temple, Salt Lake City, UT.

Cash / Self-Pay

$137

Average discount available for prompt cash payment at this facility.

Insurance Median

$162

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: $137 (745%)

Insurance Median: $162 (881%)

Cash: $137 (745% of Medicare)

Ins. Median: $162 (881% 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 881% of the Medicare baseline (a markup of 781%). 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
Blue Cross Blue Shield	$13 - $206	71%
Cigna	$16 - $274	87%
Denver Health	$16	87%
Health Choice	$16	87%
Medicaid / KanCare	$16	87%
Rocky Mountain Health Plan	$16	87%
Uuhp	$16 - $43	87%
Humana	$18	98%
Medicare (plans)	$18	98%
Centura Employee Plan	$23	125%
Employer Direct Healthcare	$23	125%
UnitedHealthcare	$23	125%
Motivhealth	$24	131%
Molina	$37 - $147	201%
Pehp	$146 - $343	794%
Aetna	$151 - $290	821%
Wise	$178 - $182	968%
Deseret Mutual Benefit Administrators	$211	1147%
Select Health	$227	1234%
Multiplan	$237 - $312	1289%
Emi Health	$343	1865%

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 $137.
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 Holy Cross Hospital - Salt Lake 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.