CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Banner Fort Collins Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $37
Cash Discount Price: $13
vs. Medicare Baseline: 2.01x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Banner Fort Collins Medical Center is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 2.01x the Medicare baseline. Located in 4700 Lady Moon Dr, Fort Collins, CO.

Cash / Self-Pay

$13

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $13 (71%)

Insurance Median: $37 (201%)

Cash: $13 (71% of Medicare)

Ins. Median: $37 (201% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 201% of the Medicare baseline (a markup of 101%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$18 - $37	98%
Cigna	$18	98%
Clear Spring Health	$18	98%
Healthspring Life & Health Insurance Company, Inc.	$18	98%
Medica	$18 - $47	98%
Medicare (plans)	$18	98%
UnitedHealthcare	$18 - $46	98%
Devoted Health Services	$19	103%
Humana	$19	103%
Longevity	$19	103%
Assist Health Group	$22	120%
Banner Health	$23	125%
Pinnacol Assurance Workers Comp	$29	158%
Denver Health Medical Plan	$33	179%
Hue Health, Inc	$39 - $47	212%
Centivo	$44	239%
Rocky Mountain Health Plans	$47	256%
Apostrophe, Inc.	$48	261%
Decent Health	$48	261%
Aetna	$49	266%
First Choice Health Network	$50	272%
First Choice Of The Midwest	$53	288%
Multiplan	$53	288%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $13.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84153.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Banner Fort Collins Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84153.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.