CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Island Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $51
Cash Discount Price: $130
vs. Medicare Baseline: 2.77x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Island Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 2.77x the Medicare baseline. Located in 1211 24Th Street, Anacortes, WA.

Cash / Self-Pay

$130

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

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: $130 (707%)

Insurance Median: $51 (277%)

Cash: $130 (707% of Medicare)

Ins. Median: $51 (277% 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 277% of the Medicare baseline (a markup of 177%). 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
Amerigroup Mcaid - All Plans	$9 - $48	49%
Coordinated Care Mcaid - All Plans	$9 - $54	49%
Molina Mcaid - All Plans	$34 - $47	185%
Swinomish Indian Health - All Plans	$35 - $47	190%
Tricare	$35 - $47	190%
Chpw Mcaid - All Plans	$37 - $52	201%
Premera Mcr Adv	$37 - $51	201%
Humana	$47 - $114	256%
Kaiser Mcr Adv	$47 - $48	256%
UnitedHealthcare	$47 - $114	256%
Aarp Mcr Adv - All Plans	$48	261%
Samish Indian Health - All Plans	$48	261%
Aetna	$49 - $127	266%
Regence Mcr Adv	$51	277%
Premera Comm - All Other Plans	$64 - $89	348%
Regence Comm - All Other Plans	$73 - $100	397%
Cigna	$78 - $107	424%
First Choice - All Plans	$82 - $114	446%
First Health - All Plans	$82 - $114	446%
Multiplan - All Plans	$82 - $114	446%

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 $130.
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 Island 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.