CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Pinckneyville Community Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $91
Cash Discount Price: $151
vs. Medicare Baseline: 4.95x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Pinckneyville Community Hospital is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 4.95x the Medicare baseline. Located in 5383 State Route 154, Pinckneyville, IL.

Cash / Self-Pay

$151

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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: $151 (821%)

Insurance Median: $91 (495%)

Cash: $151 (821% of Medicare)

Ins. Median: $91 (495% 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 495% of the Medicare baseline (a markup of 395%). 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
Humana	$42 - $69	228%
Umwa Mcr Adv - All Plans	$42 - $69	228%
UnitedHealthcare	$42 - $153	228%
Wellcare Mcr Adv - All Plans	$42 - $69	228%
Aetna	$43 - $168	234%
Ambetter / Centene	$53	288%
Blue Cross Blue Shield	$53 - $135	288%
Medicaid / KanCare	$53	288%
Healthlink Hmo	$89 - $147	484%
Phcs - All Other Plans	$93 - $153	506%
Cigna	$94 - $154	511%
Healthlink Ppo - All Other Plans	$94 - $154	511%
Healthlink Work Comp	$94 - $154	511%
Phcs Savility	$97 - $159	527%
Multiplan - All Plans	$103 - $168	560%

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 $151.
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 Pinckneyville Community Hospital 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.