Summit Pacific Medical Center

ElmaGrays Harbor CountyCritical Access Hospitals

PSA test (prostate)

Quality: 2 of 5 (CMS overall rating)Earliest available date: call (360) 346-2222

What you may pay

With insurance from an employer or private plan
$32.20 – $213At least one plan lists 2 separate amounts for this procedure. They may be parts of one bill that you pay together (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We don’t show one price or compare it until we can tell which; every line is listed below. Ask the hospital which lines apply to you.
Paying yourself (cash price)
$24.84 – $128The hospital lists 2 separate amounts for this procedure. They may be parts of one bill that you pay together (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We don’t show one price or compare it until we can tell which; every line is listed below. Ask the hospital which lines apply to you.

These are prices the hospital published, not a quote. With insurance you usually pay part of the rate (your deductible and coinsurance); the estimator on the procedure page works it out. A higher price does not mean better care.

Doctors usually bill separately. At most hospitals these are the hospital’s own charges. The surgeon, radiologist, anesthesiologist or pathologist usually sends a separate bill: ask each of them for an estimate too.

Source: Summit Pacific Medical Center’s own price file, dated 2026-08-31. CareNavIQ last refreshed prices on 2026-11-09.

Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).

30 published prices, grouped by who each price applies to.

Cash price 2 prices

The hospital's discounted price for patients paying without insurance.

Cash price prices for PSA test (prostate) at Summit Pacific Medical Center
PricePart of the billHospital’s descriptionHow it’s setSettingSource date
$24.84Hospital’s feePSA (prostate specific antigen) measurement, free—Outpatient2026-08-31
$128Hospital’s feePSA (prostate specific antigen) measurement, total—Outpatient2026-08-31

List price (before discounts) 2 prices

The hospital's full chargemaster price. Few patients pay this amount.

List price (before discounts) prices for PSA test (prostate) at Summit Pacific Medical Center
PricePart of the billHospital’s descriptionHow it’s setSettingSource date
$46.00Hospital’s feePSA (prostate specific antigen) measurement, free—Outpatient2026-08-31
$237Hospital’s feePSA (prostate specific antigen) measurement, total—Outpatient2026-08-31

Commercial insurance 6 prices

Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Commercial insurance prices for PSA test (prostate) at Summit Pacific Medical Center
PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
AETNA COMM - ALL PLANSAETNA COMM - ALL PLANS$41.40Hospital’s feePSA (prostate specific antigen) measurement, freepercent of total billed chargesOutpatient2026-08-31
AETNA COMM - ALL PLANSAETNA COMM - ALL PLANS$213Hospital’s feePSA (prostate specific antigen) measurement, totalpercent of total billed chargesOutpatient2026-08-31
CHPW PEBB - ALL OTHER PLANSCHPW PEBB - ALL OTHER PLANS$32.20Hospital’s feePSA (prostate specific antigen) measurement, freepercent of total billed chargesOutpatient2026-08-31
CHPW PEBB - ALL OTHER PLANSCHPW PEBB - ALL OTHER PLANS$166Hospital’s feePSA (prostate specific antigen) measurement, totalpercent of total billed chargesOutpatient2026-08-31
FIRST CHOICE - ALL PLANSFIRST CHOICE - ALL PLANS$36.80Hospital’s feePSA (prostate specific antigen) measurement, freepercent of total billed chargesOutpatient2026-08-31
FIRST CHOICE - ALL PLANSFIRST CHOICE - ALL PLANS$190Hospital’s feePSA (prostate specific antigen) measurement, totalpercent of total billed chargesOutpatient2026-08-31

Medicare Advantage 6 prices

Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Medicare Advantage prices for PSA test (prostate) at Summit Pacific Medical Center
PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
CHPW MCR ADVCHPW MCR ADV$11.85Hospital’s feePSA (prostate specific antigen) measurement, freepercent of total billed chargesOutpatient2026-08-31
CHPW MCR ADVCHPW MCR ADV$61.03Hospital’s feePSA (prostate specific antigen) measurement, totalpercent of total billed chargesOutpatient2026-08-31
REGENCE BS MCR ADV - ALL PLANSREGENCE BS MCR ADV - ALL PLANS$11.50Hospital’s feePSA (prostate specific antigen) measurement, freepercent of total billed chargesOutpatient2026-08-31
REGENCE BS MCR ADV - ALL PLANSREGENCE BS MCR ADV - ALL PLANS$59.25Hospital’s feePSA (prostate specific antigen) measurement, totalpercent of total billed chargesOutpatient2026-08-31
WELLCARE MCR ADV - ALL PLANSWELLCARE MCR ADV - ALL PLANS$12.19Hospital’s feePSA (prostate specific antigen) measurement, freepercent of total billed chargesOutpatient2026-08-31
WELLCARE MCR ADV - ALL PLANSWELLCARE MCR ADV - ALL PLANS$62.81Hospital’s feePSA (prostate specific antigen) measurement, totalpercent of total billed chargesOutpatient2026-08-31

Medicaid managed care 6 prices

Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Medicaid managed care prices for PSA test (prostate) at Summit Pacific Medical Center
PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
AMERIGROUP MCAID - ALL PLANSAMERIGROUP MCAID - ALL PLANS$11.69Hospital’s feePSA (prostate specific antigen) measurement, freepercent of total billed chargesOutpatient2026-08-31
AMERIGROUP MCAID - ALL PLANSAMERIGROUP MCAID - ALL PLANS$60.22Hospital’s feePSA (prostate specific antigen) measurement, totalpercent of total billed chargesOutpatient2026-08-31
CHPW CHIPCHPW CHIP$10.63Hospital’s feePSA (prostate specific antigen) measurement, freepercent of total billed chargesOutpatient2026-08-31
CHPW CHIPCHPW CHIP$54.75Hospital’s feePSA (prostate specific antigen) measurement, totalpercent of total billed chargesOutpatient2026-08-31
CHPW HEALTHY OPTIONSCHPW HEALTHY OPTIONS$10.63Hospital’s feePSA (prostate specific antigen) measurement, freepercent of total billed chargesOutpatient2026-08-31
CHPW HEALTHY OPTIONSCHPW HEALTHY OPTIONS$54.75Hospital’s feePSA (prostate specific antigen) measurement, totalpercent of total billed chargesOutpatient2026-08-31

Other government program 2 prices

TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Other government program prices for PSA test (prostate) at Summit Pacific Medical Center
PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
TRIWEST - ALL PLANSTRIWEST - ALL PLANS$11.50Hospital’s feePSA (prostate specific antigen) measurement, freepercent of total billed chargesOutpatient2026-08-31
TRIWEST - ALL PLANSTRIWEST - ALL PLANS$59.25Hospital’s feePSA (prostate specific antigen) measurement, totalpercent of total billed chargesOutpatient2026-08-31

Unknown 6 prices

The source file doesn't say which population this rate applies to.

Unknown prices for PSA test (prostate) at Summit Pacific Medical Center
PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
CHPW BASIC HPCHPW BASIC HP$10.63Hospital’s feePSA (prostate specific antigen) measurement, freepercent of total billed chargesOutpatient2026-08-31
CHPW BASIC HPCHPW BASIC HP$54.75Hospital’s feePSA (prostate specific antigen) measurement, totalpercent of total billed chargesOutpatient2026-08-31
CIGNA - ALL PLANSCIGNA - ALL PLANS$36.80Hospital’s feePSA (prostate specific antigen) measurement, freepercent of total billed chargesOutpatient2026-08-31
CIGNA - ALL PLANSCIGNA - ALL PLANS$190Hospital’s feePSA (prostate specific antigen) measurement, totalpercent of total billed chargesOutpatient2026-08-31
UHC ALL PAYER - ALL PLANSUHC ALL PAYER - ALL PLANS$39.10Hospital’s feePSA (prostate specific antigen) measurement, freepercent of total billed chargesOutpatient2026-08-31
UHC ALL PAYER - ALL PLANSUHC ALL PAYER - ALL PLANS$201Hospital’s feePSA (prostate specific antigen) measurement, totalpercent of total billed chargesOutpatient2026-08-31

Doctors here who do this procedure

No doctor affiliated with Summit Pacific Medical Center billed Traditional Medicare for this often enough for CMS to publish it (11 or more patients a year). That doesn’t mean no one here does it. See all doctors and practices for this procedure.

See a price that looks wrong? Tell us about it.