84154

Psa (prostate specific antigen) measurement, free

Medicare pricing data for 3,432 providers across 49 states

🤖AI Overview

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, free (HCPCS code 84154) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.99, but hospitals typically charge $84.08 — a 4.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.60

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $17.99, your out-of-pocket cost would be approximately $3.60. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$17.99
Average Hospital Charge
$84.08
Markup Ratio
4.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$84.08
Medicare Allowed$17.99
Medicare Payment$17.99

Hospitals charge 4.7x more than what Medicare allows for this procedure. Medicare actually pays $17.99 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$18$37168+0.2%
Iowa$18$6438413+0.2%
Kansas$18$91195,440+0.2%
New Hampshire$18$82639+0.2%
New Mexico$18$1088874+0.2%
North Dakota$18$85426+0.2%
Wyoming$18$114595+0.2%
Puerto Rico$18$20157605+0.2%
Connecticut$18$705211+0.2%
Florida$18$8038959,214+0.1%
Massachusetts$18$89638,168+0.1%
Nevada$18$8784,349+0.1%
Pennsylvania$18$71168,055+0.1%
Colorado$18$85253,016+0.1%
Georgia$18$91727,688+0.1%
Illinois$18$851696,278+0.1%
New York$18$10735727,955+0.1%
Oklahoma$18$64384,333+0.1%
Utah$18$4696856+0.1%
Arizona$18$10013427,093+0.1%
California$18$799975,707+0.1%
New Jersey$18$8526991,1510.0%
North Carolina$18$894331,3410.0%
Ohio$18$8815114,0600.0%
South Carolina$18$57402,2910.0%
Texas$18$9330738,8230.0%
Louisiana$18$53271,243-0.1%
Maryland$18$641611,794-0.1%
Missouri$18$7844688-0.1%
Washington$18$82668,606-0.1%
Indiana$18$74571,806-0.2%
Maine$18$473159-0.2%
Michigan$18$44956,138-0.2%
Hawaii$18$4821,998-0.2%
Rhode Island$18$533263-0.2%
Alabama$18$81459,441-0.2%
Kentucky$18$72611,263-0.3%
Virginia$18$541623,842-0.3%
Oregon$18$52522,579-0.7%
Tennessee$18$71703,394-0.8%
Arkansas$18$81381,719-0.8%
Idaho$18$451090-0.9%
Minnesota$18$13074506-1.1%
South Dakota$18$9910114-1.2%
Alaska$18$118817-1.4%
Mississippi$18$7613381-1.8%
Wisconsin$18$8526400-2.0%
West Virginia$18$126960-2.6%
Nebraska$17$701697-3.3%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber