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 – $213
- Paying yourself (cash price)
- $24.84 – $128
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
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $24.84 | Hospital’s fee | PSA (prostate specific antigen) measurement, free | — | Outpatient | 2026-08-31 |
| $128 | Hospital’s fee | PSA (prostate specific antigen) measurement, total | — | Outpatient | 2026-08-31 |
List price (before discounts) 2 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $46.00 | Hospital’s fee | PSA (prostate specific antigen) measurement, free | — | Outpatient | 2026-08-31 |
| $237 | Hospital’s fee | PSA (prostate specific antigen) measurement, total | — | Outpatient | 2026-08-31 |
Commercial insurance 6 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| AETNA COMM - ALL PLANS | AETNA COMM - ALL PLANS | $41.40 | Hospital’s fee | PSA (prostate specific antigen) measurement, free | percent of total billed charges | Outpatient | 2026-08-31 |
| AETNA COMM - ALL PLANS | AETNA COMM - ALL PLANS | $213 | Hospital’s fee | PSA (prostate specific antigen) measurement, total | percent of total billed charges | Outpatient | 2026-08-31 |
| CHPW PEBB - ALL OTHER PLANS | CHPW PEBB - ALL OTHER PLANS | $32.20 | Hospital’s fee | PSA (prostate specific antigen) measurement, free | percent of total billed charges | Outpatient | 2026-08-31 |
| CHPW PEBB - ALL OTHER PLANS | CHPW PEBB - ALL OTHER PLANS | $166 | Hospital’s fee | PSA (prostate specific antigen) measurement, total | percent of total billed charges | Outpatient | 2026-08-31 |
| FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $36.80 | Hospital’s fee | PSA (prostate specific antigen) measurement, free | percent of total billed charges | Outpatient | 2026-08-31 |
| FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $190 | Hospital’s fee | PSA (prostate specific antigen) measurement, total | percent of total billed charges | Outpatient | 2026-08-31 |
Medicare Advantage 6 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| CHPW MCR ADV | CHPW MCR ADV | $11.85 | Hospital’s fee | PSA (prostate specific antigen) measurement, free | percent of total billed charges | Outpatient | 2026-08-31 |
| CHPW MCR ADV | CHPW MCR ADV | $61.03 | Hospital’s fee | PSA (prostate specific antigen) measurement, total | percent of total billed charges | Outpatient | 2026-08-31 |
| REGENCE BS MCR ADV - ALL PLANS | REGENCE BS MCR ADV - ALL PLANS | $11.50 | Hospital’s fee | PSA (prostate specific antigen) measurement, free | percent of total billed charges | Outpatient | 2026-08-31 |
| REGENCE BS MCR ADV - ALL PLANS | REGENCE BS MCR ADV - ALL PLANS | $59.25 | Hospital’s fee | PSA (prostate specific antigen) measurement, total | percent of total billed charges | Outpatient | 2026-08-31 |
| WELLCARE MCR ADV - ALL PLANS | WELLCARE MCR ADV - ALL PLANS | $12.19 | Hospital’s fee | PSA (prostate specific antigen) measurement, free | percent of total billed charges | Outpatient | 2026-08-31 |
| WELLCARE MCR ADV - ALL PLANS | WELLCARE MCR ADV - ALL PLANS | $62.81 | Hospital’s fee | PSA (prostate specific antigen) measurement, total | percent of total billed charges | Outpatient | 2026-08-31 |
Medicaid managed care 6 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| AMERIGROUP MCAID - ALL PLANS | AMERIGROUP MCAID - ALL PLANS | $11.69 | Hospital’s fee | PSA (prostate specific antigen) measurement, free | percent of total billed charges | Outpatient | 2026-08-31 |
| AMERIGROUP MCAID - ALL PLANS | AMERIGROUP MCAID - ALL PLANS | $60.22 | Hospital’s fee | PSA (prostate specific antigen) measurement, total | percent of total billed charges | Outpatient | 2026-08-31 |
| CHPW CHIP | CHPW CHIP | $10.63 | Hospital’s fee | PSA (prostate specific antigen) measurement, free | percent of total billed charges | Outpatient | 2026-08-31 |
| CHPW CHIP | CHPW CHIP | $54.75 | Hospital’s fee | PSA (prostate specific antigen) measurement, total | percent of total billed charges | Outpatient | 2026-08-31 |
| CHPW HEALTHY OPTIONS | CHPW HEALTHY OPTIONS | $10.63 | Hospital’s fee | PSA (prostate specific antigen) measurement, free | percent of total billed charges | Outpatient | 2026-08-31 |
| CHPW HEALTHY OPTIONS | CHPW HEALTHY OPTIONS | $54.75 | Hospital’s fee | PSA (prostate specific antigen) measurement, total | percent of total billed charges | Outpatient | 2026-08-31 |
Other government program 2 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $11.50 | Hospital’s fee | PSA (prostate specific antigen) measurement, free | percent of total billed charges | Outpatient | 2026-08-31 |
| TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $59.25 | Hospital’s fee | PSA (prostate specific antigen) measurement, total | percent of total billed charges | Outpatient | 2026-08-31 |
Unknown 6 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| CHPW BASIC HP | CHPW BASIC HP | $10.63 | Hospital’s fee | PSA (prostate specific antigen) measurement, free | percent of total billed charges | Outpatient | 2026-08-31 |
| CHPW BASIC HP | CHPW BASIC HP | $54.75 | Hospital’s fee | PSA (prostate specific antigen) measurement, total | percent of total billed charges | Outpatient | 2026-08-31 |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $36.80 | Hospital’s fee | PSA (prostate specific antigen) measurement, free | percent of total billed charges | Outpatient | 2026-08-31 |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $190 | Hospital’s fee | PSA (prostate specific antigen) measurement, total | percent of total billed charges | Outpatient | 2026-08-31 |
| UHC ALL PAYER - ALL PLANS | UHC ALL PAYER - ALL PLANS | $39.10 | Hospital’s fee | PSA (prostate specific antigen) measurement, free | percent of total billed charges | Outpatient | 2026-08-31 |
| UHC ALL PAYER - ALL PLANS | UHC ALL PAYER - ALL PLANS | $201 | Hospital’s fee | PSA (prostate specific antigen) measurement, total | percent of total billed charges | Outpatient | 2026-08-31 |
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.