Blood test, PSA (prostate screen)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $19
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.03x 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 |
|---|---|---|
| Smarthealth | $17 - $26 | 92% |
| Vc Hope | $18 | 98% |
| Va | $18 | 98% |
| Humana | $18 | 98% |
| Saint Lukes Health Systems | $18 | 98% |
| Via Christi Research | $18 | 98% |
| Medicare (plans) | $18 - $19 | 98% |
| UnitedHealthcare | $19 - $51 | 103% |
| Blue Cross Blue Shield | $19 | 103% |
| Corizon | $23 | 125% |
| Mdsave | $27 | 147% |
| Medicaid / KanCare | $31 | 169% |
| Aetna | $58 | 315% |
| Coventry City Of Wichita | $74 | 402% |
Consumer Guidance & Cost Commentary
For the CPT code 84153, representing a prostate-specific antigen (PSA) blood test at Ascension Via Christi Hospitals Wichita, Inc., the facility's negotiated rates range from $17 to $74 across 14 different payers, with a median negotiated amount of $19.00. This commercial rate is slightly higher than the Medicare benchmark of $18.39, which serves as the federal baseline for the true cost of this service. While the facility is located in Wichita, Kansas (ZIP 67214), the data provided does not include specific state or county average figures for comparison. It is important to note that commercial negotiated rates often exceed cash prices due to administrative costs and contract structures; however, patients with high-deductible plans may find that paying the cash price directly is more cost-effective if the insurance allowed amount exceeds the cash rate.
Patients should proactively contact the hospital to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% for upfront payment. Since the facility is a voluntary non-profit, these discounts are often available to bypass the higher administrative fees associated with insurance billing cycles. If a patient receives a bill that appears to include charges for services not rendered or unbundled components, they should request a formal itemized audit to verify accuracy, as over 80% of hospital bills contain errors. Additionally, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, meaning any unexpected charges should be disputed with the insurer rather than paid immediately.