Men's Health - Prostate & Urinary Health Screening Panel
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Free PSA is a tumour marker. It is most useful for monitoring a known condition and tracking response to treatment, alongside clinical evaluation.
Also known as: Free PSA, fPSA
Sample
Blood
Fasting
Not required
Report in
24 hours
Collection
Free at home
Free PSA measures the portion of prostate-specific antigen that circulates unbound to proteins in the blood. Along with total PSA, the free-to-total PSA ratio helps distinguish benign prostate enlargement from a higher likelihood of prostate cancer when total PSA is in a borderline range.
Ordered when total PSA is mildly elevated (borderline range) to help estimate the likelihood that the cause is cancer versus a benign condition like prostate enlargement, without needing an immediate biopsy.
It can help your doctor assess
Helps refine risk assessment between benign prostate enlargement and prostate cancer when total PSA is borderline.
This test may be considered for:
Men with a borderline-elevated total PSA result, where the free PSA ratio can help guide whether further investigation (like a biopsy) is needed.
Whether this test is right for you depends on your symptoms, medical history and the reason for testing - your doctor can advise.
The unbound (free) fraction of PSA, used together with total PSA to calculate the free-to-total PSA ratio.
Free PSA / Total PSA Ratio
Prostate Marker Ratio
A lower free-to-total PSA ratio is associated with a higher likelihood of prostate cancer, while a higher ratio is more suggestive of a benign cause like prostate enlargement.
How to read your result
Your report should be read using the reference interval, unit and method shown by the performing laboratory. A result outside a reference interval does not automatically establish a diagnosis, and a result inside the interval does not rule out every health problem. Clinical interpretation depends on symptoms, history and other findings.
| Marker | Result | What it may be associated with |
|---|---|---|
| Free-to-Total PSA Ratio | Low (below ~10-15%) | Associated with a higher likelihood that a borderline total PSA elevation is related to prostate cancer, and may prompt your doctor to recommend further evaluation. |
If a result is outside the range
If the Free PSA is reported as high, low, positive, negative or otherwise outside the laboratory's stated interval, the meaning depends on the specific test and the reason it was ordered. Your clinician may consider repeat testing, related investigations or other clinical information before deciding what the result means.
Limitations of this test
This ratio helps refine risk but isn’t diagnostic on its own - your doctor combines it with total PSA, age, symptoms and sometimes imaging or biopsy.
An abnormal result does not by itself mean you have a particular disease. Your doctor interprets results together with your symptoms, history and other tests.
| Parameter | Reference range | Unit |
|---|---|---|
| Free-to-Total PSA Ratio | Above 25% (lower cancer likelihood) | % |
Typical adult ranges for guidance. Reference intervals vary with the laboratory method, age and sex - always read your result against the range printed on your own report.
Book
Choose the test and a time slot online, or call us and we'll book it for you.
Prepare
Follow the preparation steps above for this test.
Sample collection
A trained phlebotomist collects the sample at your home - no extra charge.
Laboratory processing
Your sample is processed in our laboratory and reviewed by a pathologist.
Report
Your report is shared on WhatsApp and email, usually within 24 hours.
For a blood-based test, a small blood sample is collected by a trained healthcare professional, usually from a vein in the arm. The collection normally takes only a few minutes; mild temporary discomfort or bruising can occur at the puncture site.
Recent ejaculation, prostate infection, and certain procedures can affect both total and free PSA values.
Laboratory results are interpreted together with your symptoms, medical history and other investigations. If your results are significantly abnormal, or you have symptoms that worry you, discuss them with a qualified doctor promptly.
Trusted public health sources for the information on this page:
This information is for general awareness and does not replace advice from your doctor.
The Free PSA test cost in Mumbai at HWP Diagnostic is ₹1,099 - 27% less than the MRP of ₹1,499. There are no extra charges for home sample collection. The same price applies across Malad, Kandivali, Borivali and Goregaon.
| Test | Free PSA |
|---|---|
| Price at HWP Diagnostic | ₹1,099 |
| MRP | ₹1,499 (you save ₹400 - 27% off) |
| Home collection charge | Free |
| Report time | 24 hours |
| Fasting | Not required |
| Available in | Malad, Kandivali, Borivali & Goregaon (same price) |
Book the Free PSA test with free home sample collection anywhere in Malad, Kandivali, Borivali and Goregaon, or walk in to our lab in Malad West, Mumbai - open 24×7.
Home collection areas include
Malad WestMalwani & KharodiMalad EastKandivali WestKandivali EastBorivali WestGorai & Borivali WestIC Colony & MandapeshwarBorivali EastGoregaon WestBangur Nagar & Motilal NagarGoregaon EastAarey ColonyDahisarJogeshwari WestJogeshwari East
Directions on Google MapsIt is also known as Free PSA, fPSA.
Home collection at the same price (₹1,099) across these areas, with our lab in Malad West open 24×7.
Get this test along with other important checks - usually for less than booking them separately.
No fasting is required, though avoiding ejaculation and vigorous exercise for 24-48 hours beforehand is often advised.
The free-to-total ratio is most useful for clarifying risk specifically in the "grey zone" of total PSA results - it’s not typically needed when total PSA is clearly normal or clearly very high.
Free PSA is a blood test. Free PSA is a tumour marker. It is most useful for monitoring a known condition and tracking response to treatment, alongside clinical evaluation.
The Free PSA may be ordered when a healthcare professional needs information about the condition or health area assessed by this test. Free PSA is a tumour marker. It is most useful for monitoring a known condition and tracking response to treatment, alongside clinical evaluation. At HWP Diagnostic the sample can be collected free at your home in Malad and nearby Mumbai areas, and the report is usually shared within the same day or next day. Please carry or upload your doctor's prescription where the test needs one, and discuss the result with your doctor for a full interpretation.
Free PSA is a tumour marker. It is most useful for monitoring a known condition and tracking response to treatment, alongside clinical evaluation.
The test may be relevant for people whose symptoms, medical history, screening needs or treatment monitoring match the purpose of the Free PSA.
No special preparation is needed for this test.
No, fasting is not required for the Free PSA. You can eat and drink normally unless your doctor has advised otherwise.
The Free PSA is done on a blood sample.
For a blood-based test, a small blood sample is collected by a trained healthcare professional, usually from a vein in the arm. The collection normally takes only a few minutes; mild temporary discomfort or bruising can occur at the puncture site.
Reports for the Free PSA are usually ready within 24 hours of sample collection. You receive them on WhatsApp and email.
The Free PSA costs Rs 700 at HWP Diagnostic (MRP Rs 935). Home sample collection is free.
Your report should be read using the reference interval, unit and method shown by the performing laboratory. A result outside a reference interval does not automatically establish a diagnosis, and a result inside the interval does not rule out every health problem. Clinical interpretation depends on symptoms, history and other findings.
If the Free PSA is reported as high, low, positive, negative or otherwise outside the laboratory's stated interval, the meaning depends on the specific test and the reason it was ordered. Your clinician may consider repeat testing, related investigations or other clinical information before deciding what the result means.
The Free PSA can provide important information, but laboratory results are generally interpreted together with symptoms, medical history, examination and other investigations. A single result should not be treated as a diagnosis without clinical context.
Some medicines, supplements, food, exercise and other pre-test factors can affect particular laboratory results. Tell the healthcare professional about medicines and supplements you take, and do not stop prescribed medicines unless your clinician tells you to.
Yes. Free home sample collection for the Free PSA is available across Malad, Kandivali, Borivali and Goregaon in Mumbai. You can also visit our Malad West lab, open 24x7.