CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: Watsonville Community Hospital
Billing Code: 84153 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84153
- Insurance Median: $23
- Cash Discount Price: $437
- vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Watsonville Community Hospital is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $437. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.25x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$437
Average discount available for prompt cash payment at this facility.
Insurance Median
$23
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: $437 (2376%)
Insurance Median: $23 (125%)
Cash: $437 (2376% of Medicare)
Ins. Median: $23 (125% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Pinnacle Claims Tpa/Bc | $2 - $1,293 | 11% |
| Aetna | $2 - $1,190 | 11% |
| Western Health Advantage | $2 - $726 | 11% |
| Western Growers Trust/Bc | $2 - $1,293 | 11% |
| Health Net Pmg HMO | $3 - $910 | 16% |
| Health Net of California | $3 - $910 | 16% |
| Pacificare PPO | $3 - $871 | 16% |
| Great-West/Phcs | $3 - $1,016 | 16% |
| Geha (Ccn) | $3 - $1,161 | 16% |
| Health Net Canopycare HMO | $3 - $910 | 16% |
| Health Net Smartcare Netw | $3 - $871 | 16% |
| Pacificare HMO | $3 - $871 | 16% |
| Self Pay | $3 - $871 | 16% |
| UnitedHealthcare | $3 - $871 | 16% |
| Health Net Blue and Gold | $3 - $910 | 16% |
| First Health | $3 - $1,161 | 16% |
| Cigna | $3 - $1,016 | 16% |
| Transwestern | $3 - $1,161 | 16% |
| Adventist Risk Management | $3 - $1,161 | 16% |
| Laborers Health & Welfare | $4 - $1,293 | 22% |
| Allstate | $4 - $1,451 | 22% |
| Salinas Valley Mem Hops | $4 - $1,234 | 22% |
| United Administrative | $4 - $1,451 | 22% |
| Calif Ironworkers Field | $4 - $1,293 | 22% |
| Blue Cross Blue Shield | $4 - $1,293 | 22% |
| Monterey Bay Pub Emp Trst | $4 - $1,293 | 22% |
| Prucare Pmg HMO | $4 - $1,451 | 22% |
| Zenith National Ins | $4 - $1,451 | 22% |
| Well Path | $4 - $1,451 | 22% |
| Bankers Life & Casualty | $4 - $1,451 | 22% |
| Claims Management Wc | $4 - $1,293 | 22% |
| Teamsters Benefit Trust | $4 - $1,293 | 22% |
| Carpenters H&W Trust | $4 - $1,293 | 22% |
| Coastal Healthcare Admin | $4 - $1,306 | 22% |
| Miscellaneous Insurance | $4 - $1,451 | 22% |
| Miscellaneous Auto | $4 - $1,451 | 22% |
| Multiplan Inc PPO | $4 - $1,132 | 22% |
| Travelers Insurance | $4 - $1,451 | 22% |
| Aarp | $4 - $1,451 | 22% |
| Operating Engineers | $4 - $1,293 | 22% |
| Private Healthcare System | $4 - $1,132 | 22% |
| Apwu Health Plan | $4 - $1,451 | 22% |
| Prucare Pmg POS | $4 - $1,451 | 22% |
| Delta Health Systems | $4 - $1,293 | 22% |
| State Compensation Fund | $4 - $1,293 | 22% |
| Robert Kennedy/Ccn | $4 - $1,293 | 22% |
| Humana | $4 - $1,451 | 22% |
| North Calif Bakery Driver | $4 - $1,451 | 22% |
| City of Wats/Pinnacle Clm | $4 - $1,293 | 22% |
| Sheet Metal Workers | $4 - $1,293 | 22% |
| Physicians Mutual | $4 - $1,451 | 22% |
| State Farm Ins | $4 - $1,451 | 22% |
| Wholesale Beer Distributo | $4 - $1,451 | 22% |
| Sutter Health Plus | $4 - $1,451 | 22% |
| Aaa | $4 - $1,451 | 22% |
| Farmers Insurance | $4 - $1,451 | 22% |
| Victim Compensation Plan | $4 - $1,451 | 22% |
| Blue Shield HMO | $15 - $290 | 82% |
| Secure Horizons Dign HMO | $15 - $290 | 82% |
| Fleming & Associates | $18 | 98% |
| U.S. Dept. of Labor | $18 | 98% |
| Veterans Administration | $18 | 98% |
| Workers Comp | $18 | 98% |
| Medicare (plans) | $18 | 98% |
| Beta Healthcare Group | $18 | 98% |
| Blue Shield PPO | $18 - $58 | 98% |
| Secure Horizons | $18 | 98% |
| Republic Idemnity W/Comp | $18 | 98% |
| Miscellaneous Work Comp | $18 | 98% |
| Alignment Health Plan | $18 | 98% |
| Nx Health Network | $18 | 98% |
| Crawford & Co | $18 | 98% |
| Ace-Usa | $18 | 98% |
| Gallagher Bassett Svcs | $18 | 98% |
| Tricare | $18 | 98% |
| Kemper Group Workers Comp | $18 | 98% |
| Western Growers Work Comp | $18 | 98% |
| Pinnacle Healthcare Uc | $18 | 98% |
| Fireman's Fund Work Comp | $18 | 98% |
| Hartford Workers' Comp | $18 | 98% |
| Keenan & Assoc Work Comp | $18 | 98% |
| Liberty Mutual Work Comp | $18 | 98% |
| Ccs/Monterey County | $23 | 125% |
| California Childrens Srvs | $23 | 125% |
| Medi-Cal E.R. | $23 | 125% |
| Medicaid / KanCare | $23 | 125% |
| Healthy Families | $23 - $58 | 125% |
| Medi-Cal/Eds | $23 | 125% |
| Alliance/Sccho | $25 | 136% |
| Ufcw/Valley Clerks | $58 | 315% |
| Bs Employee | $58 | 315% |
| United Agriculture | $58 | 315% |
| Medicruz | $261 | 1419% |