CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Massac Memorial Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $35
Cash Discount Price: $46
vs. Medicare Baseline: 1.90x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Massac Memorial Hospital is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.90x the Medicare baseline. Located in 28 Chick Street, Po Box 850, Metropolis, IL.

Cash / Self-Pay

$46

Average discount available for prompt cash payment at this facility.

Insurance Median

$35

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: $46 (250%)

Insurance Median: $35 (190%)

Cash: $46 (250% of Medicare)

Ins. Median: $35 (190% 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.

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	$22 - $54	120%
Blue Cross Blue Shield	$22 - $63	120%
Medicaid / KanCare	$22	120%
Molina Ky Mcaid	$22	120%
Chesi Op Only-All Plans	$35	190%
Health Alliance Mcare Adv	$35	190%
Humana	$35	190%
Health Alliance Exchange	$43	234%
Health Alliance-All Other Plans	$43	234%
Prime Health Services-All Plans	$43	234%
Healthlink Hmo	$48	261%
Cigna	$54	294%
Healthlink Ppo-All Other Plans	$54	294%
UnitedHealthcare	$55	299%
Multiplan-All Plans	$59	321%

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 $46.
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 Massac Memorial 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.