Blood test, PSA (prostate screen)
Facility: Overland Park Reg Med Ctr
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $69
- Cash Discount Price: $390
- vs. Medicare Baseline: 3.75x 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 375% of the Medicare baseline (a markup of 275%). 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 |
|---|---|---|
| Cigna | $9 - $19 | 49% |
| Home State Health Plan | $17 | 92% |
| United | $17 - $184 | 92% |
| Aetna | $17 - $208 | 92% |
| Humana | $18 - $45 | 98% |
| Amerigroup | $18 | 98% |
| Blue Cross Blue Shield | $18 - $175 | 98% |
| Devoted Health | $18 | 98% |
| Coventry | $18 - $164 | 98% |
| Medicaid / KanCare | $19 | 103% |
| Triwest Health Alliance | $19 | 103% |
| Wellcare | $19 | 103% |
| Celtic | $19 | 103% |
| Healthyblue | $19 | 103% |
| Unicare | $19 | 103% |
| Pyramid Life | $20 | 109% |
| Oscar | $28 | 152% |
| Multiplan | $33 - $302 | 179% |
| Corvel Corporation | $39 - $265 | 212% |
| Oha Network | $40 - $204 | 218% |
| Ambetter / Centene | $69 - $76 | 375% |
| Nhc Advantage | $71 - $78 | 386% |
| Wppa Providrs Care Network | $74 - $82 | 402% |
| Universal Healthcare | $130 - $143 | 707% |
| Coventry Kc Mo | $152 - $167 | 827% |
| College Park Family Care Center | $160 - $175 | 870% |
| Focus Healthcare Mgmt, Inc | $278 - $306 | 1512% |
| Cco, Inc. | $278 - $306 | 1512% |
Consumer Guidance & Cost Commentary
For the blood test, PSA (prostate screen) procedure at Overland Park Reg Med Ctr, the cash price is $390.00, which matches the facility's cash median. This rate is significantly higher than the state average, indicated by a 3.8x multiplier compared to Medicare's benchmark rate of $18.39. While commercial negotiated rates for this service range widely among payers—from a low of $9 for Cigna plans to a high of $306 for Focus Healthcare Mgmt, Inc.—the cash price remains a fixed baseline. Patients with high-deductible plans or those without insurance may find the $390 cash rate more affordable than the negotiated amounts their insurers might allow, which can sometimes exceed the cash price due to administrative overhead and contract structures.
To secure the lowest possible cost, patients should proactively contact the hospital to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. It is also important to request an itemized billing audit before paying, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. Since the No Surprises Act prohibits balance billing for out-of-network services at in-network facilities, patients should verify that all ancillary services, such as laboratory tests, are covered under their plan's network agreements to avoid unexpected additional charges.