CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $126
Cash Discount Price: $96
vs. Medicare Baseline: 6.85x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Cameron Memorial Community Hospital Inc is $126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 6.85x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.

Cash / Self-Pay

$96

Average discount available for prompt cash payment at this facility.

Insurance Median

$126

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: $96 (522%)

Insurance Median: $126 (685%)

Cash: $96 (522% of Medicare)

Ins. Median: $126 (685% 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 685% of the Medicare baseline (a markup of 585%). 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 - $74	98%
Caresource Indiana Of In	$18 - $59	98%
Managed Health Services	$18	98%
Mdwise	$18	98%
Aetna	$51 - $138	277%
Humana	$51 - $138	277%
UnitedHealthcare	$51 - $126	277%
Plain Church Group Ministry	$62	337%
Centivo	$87	473%
Lucent	$87	473%
Phcs	$120	653%
Php	$121	658%
Sagamore Health Network	$124	674%
Signature Care	$133 - $141	723%
Three Rivers Preferred	$136	740%
Cigna	$138	750%
Coventry	$141	767%
Lutheran Preferred	$144	783%
Encore	$147	799%
Frontpath	$147	799%
Corvel	$149	810%

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 $96.
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 Cameron Memorial Community Hospital Inc 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.