CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $155
Cash Discount Price: $181
vs. Medicare Baseline: 8.43x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at University of Iowa Health Care Medical Center Down is $155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $181. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 8.43x the Medicare baseline. Located in 500 E Market Street, Iowa City, IA.

Cash / Self-Pay

$181

Average discount available for prompt cash payment at this facility.

Insurance Median

$155

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: $181 (984%)

Insurance Median: $155 (843%)

Cash: $181 (984% of Medicare)

Ins. Median: $155 (843% 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 843% of the Medicare baseline (a markup of 743%). 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
Wellpoint (Amerigroup)	$17 - $19	92%
Aetna	$18 - $155	98%
Iowa Total Care	$18 - $19	98%
Molina Healthcare	$18	98%
UnitedHealthcare	$18 - $121	98%
Blue Cross Blue Shield	$19 - $124	103%
Healthpartners	$19 - $220	103%
Immergrun	$65	353%
Medical Associates	$110 - $130	598%
Quad City Community Healthcare	$130 - $194	707%
Midlands Choice	$136 - $168	740%
Oscar Health	$163	886%
Great River Health Systems	$168 - $181	914%
Aplos Health Plan	$207	1126%
Sedgwick	$207	1126%
Global Excel	$220	1196%
Sanford Health Plan	$220	1196%
Sisco	$228	1240%
Employee Benefit Systems	$233	1267%
Healthsmart	$233	1267%
Hfn	$238	1294%
Multiplan	$238	1294%

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 $181.
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 University of Iowa Health Care Medical Center Down 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.