84153
Prostate specific antigen (PSA) blood test
Prostate specific antigen (PSA) blood test is the #803 most-billed Medicaid procedure code, with $77.6M in payments across 8.8M claims from 2018–2024. The national median cost per claim is $12.67.
Total Paid
$77.6M
0.01% of all spending
Total Claims
8.8M
Providers
3K
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 84153? Based on 2K providers billing this code nationally.
Median
$12.67
Average
$12.74
Std Dev
$12.56
Max
$356.01
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.53 and $16.77 per claim for this code.
90% bill between $2.43 and $19.40.
Top 1% bill above $41.83.
About This Procedure
HCPCS code 84153 (Prostate specific antigen (PSA) blood test) was billed by 3K providers across 8.8M claims, totaling $77.6M in Medicaid payments from 2018–2024. This code was used for 8.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.67
Providers Billing
2K
National Spending
$77.6M
Avg/Median Ratio
1.01×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 84153
| # | Provider | Total Paid |
|---|---|---|
| 1 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $3.8M |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $3.4M |
| 3 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $3.4M |
| 4 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $3.3M |
| 5 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $3.2M |
| 6 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $3.0M |
| 7 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $1.6M |
| 8 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $1.2M |
| 9 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $1.1M |
| 10 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $1.0M |
| 11 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $989K |
| 12 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $953K |
| 13 | Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory | $889K |
| 14 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $855K |
| 15 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $832K |
| 16 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $786K |
| 17 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $783K |
| 18 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $769K |
| 19 | 1891873303 | $715K |
| 20 | 1396813861 | $707K |
Showing top 20 of 3K providers billing this code