CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Sky Ridge Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $32
  • Cash Discount Price: $1,177
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Sky Ridge Medical Center is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,177. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.74x the Medicare baseline. Located in 10101 Ridgegate Pkwy, Lone Tree, CO.
Cash / Self-Pay
$1,177

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$18.39

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $18.39 (100%)
Cash / Self-Pay: $1,177 (6400%)
Insurance Median: $32 (174%)
Cash: $1,177 (6400% of Medicare)
Ins. Median: $32 (174% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $18.39 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Cigna $11 - $753 60%
Aetna $18 - $621 98%
Blue Cross Blue Shield $18 - $871 98%
Bright Health $18 - $353 98%
Devoted Health $18 98%
Humana $18 98%
Mutual Of Omaha $18 98%
Rocky Mountain Health $18 98%
Rocky Mountain Health Plan $18 98%
Total Longterm Care $18 98%
Triwest Health Alliance $18 98%
United $18 - $530 98%
Delaware Life Insurance $19 103%
Innovage Pace $19 103%
Kaiser $19 - $418 103%
Wellcare $19 103%
Vail Health $179 973%
Western Plains Community Health $765 4160%
Multiplan $824 - $1,059 4481%
Northcare $824 4481%
Physician Health Partners $824 4481%
Pinnacol Workers Comp $883 4802%
Medical Development International $941 5117%
Prime Health $1,059 5759%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10101 Ridgegate Pkwy, Lone Tree, CO 80124
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals