Free PSA test cost in San Francisco, CA
In San Francisco-Oakland-Fremont, CA, 24 hospitals list a cash price for PSA (prostate-specific antigen) blood test, free: from $86.00 to $307.20, with a median of $189.84. The lowest listed price is at Chinese Hospital — $103.84 less than the median here. Across California, the median is $60.26 at 170 hospitals.
- The median here, $189.84, is 138% above the US median of $79.82.
- That is 10.3× Medicare's 2026 national rate for the same service ($18.39).
- San Francisco, CA ranks 3rd of 4 metro areas in California by median, cheapest first.
- 12 of 24 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 24 facilities across 16 cities for code 84154, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Mar 26, 2026 and Sep 30, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in San Francisco-Oakland-Fremont, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Chinese Hospital lowest San Francisco, CA · (415) 677-2480 PSA (prostate specific antigen) measurement, free File of Jul 22, 2026 · source file | $86.00 | $86.00 | $15.82–$260.90 | — |
| Sequoia Hospital Redwood City, CA · (650) 369-5811 PSA FREE File of Sep 30, 2026 · source file | $120.77 | $354.00 | $18.39–$354.00 | 66% |
| Kaiser Fnd Hospital - Richmond Campus Richmond, CA · (510) 752-1000 ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE File of Apr 1, 2026 · source file | $127.68 | $228.00 | $18.00–$55.00 | 44% |
| Kaiser Foundation Hospital - South San Francisco South San Francisco, CA · (650) 742-3200 ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE File of Apr 1, 2026 · source file | $127.68 | $228.00 | $18.00–$55.00 | 44% |
| Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA · (925) 295-4000 ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE File of Apr 1, 2026 · source file | $127.68 | $228.00 | $18.00–$55.00 | 44% |
| Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE File of Apr 1, 2026 · source file | $127.68 | $228.00 | $18.00–$55.00 | 44% |
| Kaiser Foundation Hospital - Redwood City Redwood City, CA · (650) 299-2000 ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE File of Apr 1, 2026 · source file | $127.68 | $228.00 | $18.00–$55.00 | 44% |
| Kaiser Foundation Hospital - San Rafael San Rafael, CA · (415) 444-2000 ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE File of Apr 1, 2026 · source file | $127.68 | $228.00 | $18.00–$55.00 | 44% |
| Kaiser Foundation Hospital - San Francisco San Francisco, CA · (415) 833-2646 ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE File of Apr 1, 2026 · source file | $127.68 | $228.00 | $18.00–$55.00 | 44% |
| Kaiser Foundation Hospital - San Leandro San Leandro, CA · (510) 454-1000 ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE File of Apr 1, 2026 · source file | $127.68 | $228.00 | $18.00–$55.00 | 44% |
| Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE File of Apr 1, 2026 · source file | $127.68 | $228.00 | $18.00–$55.00 | 44% |
| Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE File of Apr 1, 2026 · source file | $127.68 | $228.00 | $18.00–$55.00 | 44% |
| Mills-Peninsula Medical Center Burlingame, CA · (650) 696-5400 HCHG PSA FREE+1 more line at this price File of Apr 1, 2026 · source file | $252.00 | $252.00 | — | — |
| Eden Medical Center Castro Valley, CA · (510) 537-1234 HCHG CORE PSA FREE+1 more line at this price File of Apr 1, 2026 · source file | $252.00 | $252.00 | — | — |
| Alta Bates Summit Medical Center Oakland, CA · (510) 655-4000 HCHG CORE PSA FREE+1 more line at this price File of Apr 1, 2026 · source file | $252.00 | $252.00 | — | — |
| Sutter Delta Medical Center Antioch, CA · (925) 779-7200 HCHG CORE PSA FREE File of Apr 1, 2026 · source file | $252.00 | $252.00 | — | — |
| California Pacific Medical Ctr-Davies Campus Hospital San Francisco, CA · (415) 600-6000 HCHG CORE PSA FREE+1 more line at this price File of Apr 1, 2026 · source file | $252.00 | $252.00 | — | — |
| Novato Community Hospital Novato, CA · (415) 209-1300 HCHG PSA FREE File of Apr 1, 2026 · source file | $252.00 | $252.00 | — | — |
| Mills Health Center San Mateo, CA · (650) 696-5400 HCHG CORE PSA FREE+1 more line at this price File of Apr 1, 2026 · source file | $252.00 | $252.00 | — | — |
| Alta Bates Summit Medical Center - Alta Bates Camp Berkeley, CA · (510) 204-4444 HCHG CORE PSA FREE+1 more line at this price File of Apr 1, 2026 · source file | $252.00 | $252.00 | — | — |
| California Pacific Medical Center- Van Ness Campus San Francisco, CA · (415) 600-6000 HCHG CORE PSA FREE+1 more line at this price File of Apr 1, 2026 · source file | $252.00 | $252.00 | — | — |
| Alta Bates Summit Medical Center - Herrick Campus Berkeley, CA · (510) 204-4444 HCHG CORE PSA FREE+1 more line at this price File of Apr 1, 2026 · source file | $252.00 | $252.00 | — | — |
| Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA · (510) 655-4000 HCHG CORE PSA FREE+1 more line at this price File of Apr 1, 2026 · source file | $252.00 | $252.00 | — | — |
| MarinHealth Medical Center Greenbrae, CA · (415) 925-7900 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE File of Mar 26, 2026 · source file | $307.20 | $512.00 | $18.39–$2,330.00 | 40% |
| MarinHealth Medical Center Greenbrae, CA · (415) 925-7900 ASSAY OF PSA FREE File of Mar 26, 2026 · source file | $319.49 | $532.48 | $18.39–$2,330.00 | 40% |
Outpatient: lowest $86.00, median $189.84, highest $307.20 — a 3.6× difference within the same market.
As an inpatient, the same code is billed by 22 facilities here, median $189.84. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 3 of 13 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What free PSA test is, what the price covers and why prices differ: Free PSA test explained.
3 rows held back from this comparison
They are priced below $1 or below a tenth of the national median for code 84154 ($69.60). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.
| Hospital | Cash price | File |
|---|---|---|
| Sequoia Hospital Redwood City, CARL-A-RFL BILL PSAFR 50338 | $1.71 | file |
| St. Rose Hospital Hayward, CALC ASSAY OF PSA FREE | $2.52 | file |
| Stanford Health Care Tri-Valley Pleasanton, CAFree Psa | $5.60 | file |