SelfPayRates — hospital cash prices, from the source
Cash prices at 5 facilities across 2 cities for code 84153, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Nov 21, 2025 and Jun 27, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Bellin Memorial Health Inc
GREEN BAY, WI PROSTATE HEALTH INDEX PSA TOTAL, SERUM MCLAB |
$53.25 | $115.00 | 54% | Jun 27, 2026 file |
|
| Bellin Memorial Health Inc
GREEN BAY, WI PROSTATIC SPECIFIC ANTIGEN (PSA); TOTAL |
$53.25 | $115.00 | 54% | Jun 27, 2026 file |
|
| Aurora BayCare Medical Center
GREEN BAY, WI PSA, TOTAL |
$90.00 | $180.00 | 50% | Nov 21, 2025 file |
|
| St Clare Memorial Hospital Inc
OCONTO FALLS, WI HC PSA TOTAL |
$117.48 | $178.00 | 34% | — file |
|
| ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS
GREEN BAY, WI HC PSA TOTAL |
$117.48 | $178.00 | 34% | — file |
|
| ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS
GREEN BAY, WI HC PSA TOTAL |
$117.48 | $178.00 | 34% | — file |
Outpatient: lowest $53.25, median $103.74, highest $117.48 — a 2.2× difference within the same market.
As an inpatient, the same code is billed by 5 facilities here, median $103.74. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.