CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Hammond Henry Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $152
Cash Discount Price: $185
vs. Medicare Baseline: 8.27x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Hammond Henry Hospital is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 8.27x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.

Cash / Self-Pay

$185

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

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: $185 (1006%)

Insurance Median: $152 (827%)

Cash: $185 (1006% of Medicare)

Ins. Median: $152 (827% 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 827% of the Medicare baseline (a markup of 727%). 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
Aetna	$23 - $154	125%
Blue Cross Blue Shield	$23 - $124	125%
Meridian Health Plan-All Plans	$23	125%
Quad City Community Hc-All Plans	$38	207%
Geneseo Good Samaritan Village Op Only-All Plans	$45	245%
Tricare	$54	294%
Health Alliance Mcare Adv	$60	326%
Humana	$60 - $185	326%
UnitedHealthcare	$60 - $152	326%
Wellmark Of Ia-All Plans	$103	560%
Springfield Armory-All Plans	$134	729%
Ambetter / Centene	$144	783%
Health Alliance-All Other Plans	$154	837%
Multiplan Integrated Hp	$154	837%
Cigna	$159	865%
Multiplan Pponext	$165	897%
Osf Direct Access Network-All Plans	$165	897%
Multiplan-All Other Plans	$175	952%
Corvel-All Plans	$185	1006%
Healthsmart Adult-All Other Plans	$185	1006%
Healthsmart Pediatric	$185	1006%
Hfn-All Plans	$185	1006%
Multiplan Beech Street	$185	1006%
Multiplan Phcs Adult	$185	1006%
Multiplan Phcs Pediatric	$185	1006%
Usa Mco-All Plans	$185	1006%

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 $185.
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 Hammond Henry 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.