Blood test, PSA (prostate screen)
Facility: Labette Health
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $22
- Cash Discount Price: $92
- vs. Medicare Baseline: 1.20x 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.
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 |
|---|---|---|
| Blue Cross Blue Shield | $18 - $68 | 98% |
| Humana | $18 | 98% |
| Medicaid / KanCare | $18 - $19 | 98% |
| UnitedHealthcare | $18 - $185 | 98% |
| Wellcare | $18 | 98% |
| Healthy Blue | $19 | 103% |
| Multiplan | $19 - $180 | 103% |
| Ambetter / Centene | $21 | 114% |
| Uhccp | $22 | 120% |
| Montgomery County | $33 - $70 | 179% |
| Choicecare (First Health Network) | $191 | 1039% |
| Health Partners Of Kansas, Inc | $191 | 1039% |
Consumer Guidance & Cost Commentary
For the prostate screening service (CPT 84153) at Labette Health in Parsons, KS, the cash price of $92.00 is significantly lower than the facility's negotiated rates with major insurers like UnitedHealthcare and Multiplan, which range from $18 to $185. While the facility's cash rate is higher than the state average for this procedure, it remains well below the gross charges listed on the hospital's chargemaster. Patients with high-deductible plans or those without insurance may find the cash price more affordable than their insurance allowed amounts, as commercial negotiated rates often include administrative overhead that exceeds the actual cost of care. To maximize savings, patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling, as paying the bill in full upfront can often reduce the final amount by 20% to 50% through immediate liquidity incentives.
The facility's cash rate of $92.00 is also notably higher than the Medicare benchmark of $18.39, reflecting the standard markup found in commercial healthcare pricing where negotiated rates typically average 200% to 300% of the Medicare amount. Although the facility is a government-owned acute care hospital, the commercial pricing structure applies to insured patients, meaning that relying solely on the Medicare rate for comparison can be misleading without understanding the specific contract terms of your plan. It is crucial to verify your specific plan's allowed amount before receiving care, as assuming that being in-network guarantees the lowest possible price can lead to unexpected costs if your insurer's negotiated rate exceeds the cash price. Always obtain an itemized bill detailing the exact CPT codes and unit costs to ensure accuracy