SelfPayRates — hospital cash prices, from the source
Cash prices at 6 facilities across 5 cities for code 84154, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Pennsylvania Psychiatric Institute
HARRISBURG, PA 84154 ASSAY OF PSA FREE Tech |
$20.59 | $120.00 | 83% | — file |
|
| Penn State Health Holy Spirit Medical Center
CAMP HILL, PA 84154 PSA Free and Percent Free PSA. Tech |
$28.67 | $120.00 | 76% | — file |
|
| Penn State Health Holy Spirit Medical Center
CAMP HILL, PA 84154 ASSAY OF PSA FREE Tech |
$28.67 | $120.00 | 76% | — file |
|
| Penn State Health Hampden Medical Center
ENOLA, PA 84154 ASSAY OF PSA FREE Tech |
$37.76 | $120.00 | 69% | — file |
|
| Penn State Health Hampden Medical Center
ENOLA, PA 84154 PSA Free and Percent Free PSA. Tech |
$37.76 | $120.00 | 69% | — file |
|
| Penn State Health Milton S. Hershey Medical Center
HERSHEY, PA .Free PSA Reflx |
$39.76 | $120.00 | 67% | — file |
|
| Penn State Health Milton S. Hershey Medical Center
HERSHEY, PA FREE & TOTAL PSA (FREE) (SQ) |
$39.76 | $120.00 | 67% | — file |
|
| Penn State Health Milton S. Hershey Medical Center
HERSHEY, PA PSA Free and Percent Free PSA. |
$39.76 | $120.00 | 67% | — file |
|
| Penn State Health Milton S. Hershey Medical Center
HERSHEY, PA FREE PSA (SQ) |
$39.76 | $120.00 | 67% | — file |
|
| Penn State Health Milton S. Hershey Medical Center
HERSHEY, PA PROSTATE SPECIFIC AG, FREE |
$39.76 | $120.00 | 67% | — file |
|
| Penn State Health Milton S. Hershey Medical Center
HERSHEY, PA PSA, Free and Total. |
$39.76 | $120.00 | 67% | — file |
|
| Penn State Health Milton S. Hershey Medical Center
HERSHEY, PA PSA, FREE SEND-OUT (SQ) |
$39.76 | $120.00 | 67% | — file |
|
| UPMC Carlisle
CARLISLE, PA HC PSA % FREE & TOTAL - B |
$93.60 | $156.00 | 40% | — file |
|
| UPMC Carlisle
CARLISLE, PA HC PHI REFLEX, PSA FREE |
$93.60 | $156.00 | 40% | — file |
|
| UPMC Pinnacle Hospitals
HARRISBURG, PA HC PHI REFLEX, PSA FREE |
$93.60 | $156.00 | 40% | — file |
|
| UPMC Pinnacle Hospitals
HARRISBURG, PA HC PSA % FREE & TOTAL - B |
$93.60 | $156.00 | 40% | — file |
Outpatient: lowest $20.59, median $39.76, highest $93.60 — a 4.5× difference within the same market.
As an inpatient, the same code is billed by 6 facilities here, median $39.76. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.