Prostate test (PSA) Cost by Hospital

Prostate test (PSA) is a laboratory test. Prices are from 2352 US hospitals across 52 states, from their machine-readable files.

$92median cash price · 2352 hospitals, 52 statestypically $26–$230 depending on the hospital
≈ 5.0× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$165
Cash / self-pay
$92
Insurer-negotiated
$33
Medicare pays
$18
$26$230
Median cash $92  ·  Medicare $18  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $92 — about 5.0× the Medicare rate ($18). High vs Medicare. A fair cash price is usually within ~2× Medicare ($37).

💡 Asking for the cash price instead of the $165 list price could save about $73 (44%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Nemours Children's Hospital, Delaware Wilmington, DE $14 $9 — — —
Nemours Childrens Hospital, Florida Orlando, FL $14 $9 — — —
Windom Area Health Windom, MN $14 $17 — 99 min —
St Rose Hospital Hayward, CA $14 $24 ★ 1/5 160 min —
CHI St Vincent Morrilton Morrilton, AR $15 $19 — 98 min —
Ahn Wexford Hospital Wexford, PA $15 $19 ★ 5/5 184 min —
Cedars-Sinai Medical Center Los Angeles, CA $15 $150 ★ 5/5 355 min —
West Penn Hospital Pittsburgh, PA $15 $19 ★ 3/5 208 min —
Methodist Hospital for Surgery Addison, TX $16 $19 ★ 4/5 121 min —
Trinity Health Muskegon Hospital Muskegon, MI $16 $23 ★ 3/5 220 min —
Cumberland Medical Center Crossville, TN $16 $21 ★ 4/5 204 min —
Morristown Hamblen Hospital Association Morristown, TN $16 $19 ★ 2/5 198 min —
Roane Medical Center Harriman, TN $16 $19 ★ 4/5 174 min —
Methodist Medical Center of Oak Ridge Oak Ridge, TN $16 $19 ★ 4/5 186 min —
Leconte Medical Center Sevierville, TN $16 $21 ★ 5/5 200 min —
Fort Sanders Regional Medical Center Knoxville, TN $16 $19 ★ 3/5 234 min —
North Central Surgical Center Llp Dallas, TX $17 $154 — 108 min —
Fort Loudoun Medical Center Lenoir City, TN $17 $19 ★ 4/5 170 min —
Coosa Valley Medical Center Sylacauga, AL $17 $19 ★ 3/5 124 min —
University of Kansas Hospital Kansas City, KS $17 $62 ★ 5/5 307 min —
El Paso Children's Hospital El Paso, TX $17 $34 — — —
UCSF Health Saint Francis Hospital San Francisco, CA $17 $17 ★ 3/5 138 min —
Nocona General Hospital Nocona, TX $17 $109 ★ 1/5 108 min —
Maple Grove Hospital Maple Grove, MN $17 $19 ★ 5/5 194 min —
University Medical Center of El Paso El Paso, TX $17 $18 ★ 3/5 240 min —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Prostate test (PSA)

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $92; Medicare pays $18.

InsurerHospitalsNegotiated median
Amerigroup 180
$18
$6 – $59
Tricare / VA 461
$18
$16 – $102
Medicare 593
$18
$18 – $71
Medicaid 370
$18
$10 – $68
Independent Health 51
$19
$16 – $38
UnitedHealthcare 1598
$19
$15 – $143
Molina Healthcare 585
$19
$12 – $71
Devoted Health 258
$19
$18 – $25
MVP Health Care 82
$20
$16 – $151
AmeriHealth 252
$20
$16 – $60
Humana 1116
$20
$18 – $166
Centene / Ambetter 850
$21
$15 – $99
Univera 16
$21
$16 – $62
Highmark 131
$22
$12 – $83
Bright Health 65
$22
$18 – $37
Kaiser Permanente 235
$25
$13 – $157
Anthem 621
$30
$15 – $122
Oscar Health 230
$31
$19 – $67
Health Net 322
$32
$6 – $290
UPMC Health Plan 101
$32
$18 – $93
Geisinger 68
$32
$17 – $89
AvMed 63
$33
$12 – $247
EmblemHealth 74
$35
$18 – $67
SelectHealth 48
$36
$18 – $142
UCare 67
$37
$13 – $107
Aetna 1474
$39
$17 – $177
Blue Cross Blue Shield 1364
$39
$18 – $171
Priority Health 57
$39
$10 – $137
Cigna 1239
$49
$18 – $191
Medica 241
$49
$18 – $169
Harvard Pilgrim 56
$51
$18 – $151
HealthPartners 272
$61
$19 – $169
Coventry 172
$70
$18 – $249
Sanford Health Plan 70
$70
$29 – $168
Workers' Comp / No-Fault 147
$75
$22 – $339
Security Health Plan 52
$83
$18 – $141
MultiPlan / PHCS network 903
$114
$26 – $253
Healthcare Highways 51
$122
$53 – $382

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
New Jersey$36
California$47
Alabama$56
Louisiana$57
Maryland$57
Tennessee$58

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

Does Medicare cover Prostate test (PSA)?

Yes — Medicare generally covers Prostate test (PSA). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $18. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $4 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 2352 US hospitals across 52 states, the typical (median) cash price is $92, versus a chargemaster (list) price around $165, a median insurer-negotiated rate of $33, a Medicare rate of about $18. Most cash prices fall between $26 and $230 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Prostate test (PSA) cost without insurance?
The median cash (self-pay) price across 2352 US hospitals is $92. Most hospitals fall between $26 and $230. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Prostate test (PSA)?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $18). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Prostate test (PSA)?
Medicare pays about $18. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Prostate test (PSA) prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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