Psa (prostate specific antigen) measurement, complexed
Medicare pricing data for 194 providers across 19 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Psa (prostate specific antigen) measurement, complexed (HCPCS code 84152) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.95, but hospitals typically charge $84.55 — a 4.7x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $17.95, your out-of-pocket cost would be approximately $3.59. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.7x more than what Medicare allows for this procedure. Medicare actually pays $17.95 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $18 | $72 | 7 | 468 | +0.4% |
| Illinois | $18 | $93 | 3 | 64 | +0.4% |
| Kansas | $18 | $131 | 1 | 16 | +0.4% |
| Massachusetts | $18 | $53 | 1 | 101 | +0.4% |
| New Jersey | $18 | $147 | 2 | 396 | +0.4% |
| New York | $18 | $84 | 2 | 79 | +0.4% |
| North Carolina | $18 | $137 | 13 | 1,329 | +0.4% |
| Ohio | $18 | $141 | 3 | 349 | +0.4% |
| Rhode Island | $18 | $120 | 1 | 14 | +0.4% |
| Washington | $18 | $146 | 3 | 33 | +0.4% |
| Puerto Rico | $18 | $20 | 9 | 24 | +0.4% |
| Arizona | $18 | $131 | 2 | 121 | +0.4% |
| Colorado | $18 | $142 | 3 | 32 | +0.4% |
| Michigan | $18 | $38 | 3 | 410 | +0.3% |
| Texas | $18 | $63 | 9 | 3,410 | +0.2% |
| Alabama | $18 | $87 | 2 | 347 | -0.5% |
| Tennessee | $18 | $57 | 15 | 153 | -0.8% |
| California | $18 | $80 | 27 | 775 | -0.9% |
| Virginia | $18 | $47 | 66 | 438 | -2.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber