SelfPayRates — hospital cash prices, from the source
Cash prices at 2 facilities across 2 cities for code 84153, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Apr 14, 2026 and Apr 14, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| WESTFIELD MEMORIAL HOSPITAL INC
WESTFIELD, NY CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL |
$12.32 | $56.00 | 78% | Apr 14, 2026 file |
|
| UPMC Chautauqua
JAMESTOWN, NY PSA TOTAL REFLEX TO FREE PSA |
$45.00 | $75.00 | 40% | — file |
|
| UPMC Chautauqua
JAMESTOWN, NY PSA ULTRA-SENSITIVE |
$45.00 | $75.00 | 40% | — file |
|
| UPMC Chautauqua
JAMESTOWN, NY TOTAL PSA PNL 2770 |
$45.00 | $75.00 | 40% | — file |
|
| UPMC Chautauqua
JAMESTOWN, NY DIAGNOSTIC PSA |
$45.00 | $75.00 | 40% | — file |
|
| UPMC Chautauqua
JAMESTOWN, NY PSA DIAGNOSTIC |
$45.00 | $75.00 | 40% | — file |
|
| WESTFIELD MEMORIAL HOSPITAL INC
WESTFIELD, NY HC PSA TOTAL |
$102.18 | $131.00 | 22% | Apr 14, 2026 file |
|
| WESTFIELD MEMORIAL HOSPITAL INC
WESTFIELD, NY HC PSA TOTAL |
$102.18 | $131.00 | 22% | Apr 14, 2026 file |
Outpatient: lowest $12.32, median $45.00, highest $102.18 — a 8.3× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $45.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.