Blood test, PSA (prostate screen)
Facility: University Of Kansas Hospital
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $60
- Cash Discount Price: $17
- vs. Medicare Baseline: 3.26x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 326% of the Medicare baseline (a markup of 226%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Larned State Hospital [503200090] | $25 | 136% |
| Health Plan Inc [503999941] | $39 - $40 | 212% |
| Alt Carelon Behavioral Health [503200905] | $42 - $43 | 228% |
| Accarent Health [503999034] | $42 - $43 | 228% |
| Php [503200005] | $50 - $64 | 272% |
| Allied National [503999937] | $50 - $52 | 272% |
| Inter-Americas Insurance [503999032] | $51 - $52 | 277% |
| Med-Pay [503200040] | $51 - $52 | 277% |
| Cerner [503200038] | $51 - $52 | 277% |
| Geha [503200036] | $51 - $52 | 277% |
| Healthlink [503200007] | $51 - $64 | 277% |
| Alt Wppa [5032000964] | $51 - $52 | 277% |
| Cigna | $53 - $69 | 288% |
| First Health [5032000110] | $55 - $57 | 299% |
| Aha-Healthcare Preferred [503200050] | $55 - $57 | 299% |
| Blue Cross Blue Shield | $58 - $66 | 315% |
| Ascension Living Hope [503201517] | $59 - $60 | 321% |
| Coeur Plan Services [503301517] | $59 - $60 | 321% |
| Correct Care Solutions [50311253] | $59 - $60 | 321% |
| Consolidated Billing [50311256] | $59 - $60 | 321% |
| Orscheln Industries [503201608] | $63 - $64 | 343% |
| Empire Plan/Nyship [503200705] | $64 - $66 | 348% |
| Alt Lucent Health Solutions [503202603] | $64 - $66 | 348% |
| Alt Lineco [5032000976] | $64 - $66 | 348% |
| Century Health Solutions [503200054] | $67 - $69 | 364% |
| Point Comfort Underwriters [503200018] | $67 - $69 | 364% |
| Quiktrip [5032000412] | $67 - $69 | 364% |
| Meritain Health [503200039] | $71 - $72 | 386% |
| Wppa [503200056] | $71 - $72 | 386% |
| Employers Health Network [503999025] | $76 - $77 | 413% |
| Usa Managed Care [503999030] | $76 - $77 | 413% |
| Three Rivers Provider Network [503999029] | $76 - $77 | 413% |
| Plan Care America [503999026] | $76 - $77 | 413% |
| Sanford Health Plan [503999027] | $76 - $77 | 413% |
| Workers Comp [503999901] | $80 - $82 | 435% |
Consumer Guidance & Cost Commentary
University Of Kansas Hospital, located at 4000 Cambridge Street in Kansas City, KS, reports a cash median price of $17 for the blood test, PSA (prostate screen) procedure. This cash rate is significantly lower than the facility's gross charge of $85 and the median negotiated rate of $60. While the facility's ownership is by a Government - Hospital District or Authority and it holds a 5-star rating, patients should be aware that cash-pay options can sometimes be more cost-effective than insurance coverage, particularly if the insurance negotiated rate exceeds the cash price. The Medicare benchmark amount for this service is $18.39, which serves as a key baseline for evaluating the facility's pricing structure.
The data indicates that 35 payers have negotiated rates for this service, with allowed amounts ranging from a low of $25 to a high of $82 across different plans. For instance, Larned State Hospital [503200090] and Health Plan Inc [503999941] show a narrow range between $25 and $40, whereas Workers Comp [503999901] has the highest range at $80 to $82. Patients are advised to check with the hospital directly for "self-pay" or "prompt-pay" discounts, which can offer a fee reduction of 20% to 50% for upfront payment. It is also important to verify the specific deductible status of the insurance plan, as high negotiated rates may still result in out-of-pocket costs if the patient has not met their deductible threshold.