Blood test, PSA (prostate screen)
Facility: Menorah Medical Center
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $35
- Cash Discount Price: $265
- vs. Medicare Baseline: 1.90x 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 |
|---|---|---|
| Cigna | $9 - $212 | 49% |
| Home State Health Plan | $17 | 92% |
| United | $17 - $119 | 92% |
| Aetna | $17 - $135 | 92% |
| Blue Cross Blue Shield | $18 - $119 | 98% |
| Coventry | $18 - $107 | 98% |
| Humana | $18 - $45 | 98% |
| Devoted Health | $18 | 98% |
| Amerigroup | $18 | 98% |
| Triwest Health Alliance | $19 | 103% |
| Unicare | $19 | 103% |
| Wellcare | $19 | 103% |
| Celtic | $19 | 103% |
| Medicaid / KanCare | $19 | 103% |
| Healthyblue | $19 | 103% |
| Pyramid Life | $20 | 109% |
| Oscar | $28 | 152% |
| Multiplan | $33 - $196 | 179% |
| Corvel Corporation | $39 - $173 | 212% |
| Oha Network | $40 - $133 | 218% |
| Ambetter / Centene | $49 | 266% |
| Nhc Advantage | $50 | 272% |
| Wppa Providrs Care Network | $53 | 288% |
| Universal Healthcare | $93 | 506% |
| Coventry Kc Mo | $109 | 593% |
| College Park Family Care Center | $114 | 620% |
| Focus Healthcare Mgmt, Inc | $199 | 1082% |
| Cco, Inc. | $199 | 1082% |
Consumer Guidance & Cost Commentary
For the blood test, PSA (prostate screen) procedure at Menorah Medical Center in Overland Park, Kansas, the cash price is $265.00, which matches the facility's cash median. This rate is significantly higher than the state average, as indicated by a comparison factor of 1.9x versus the Medicare benchmark of $18.39. While commercial insurance contracts often result in negotiated rates that can be higher than cash prices due to administrative overhead and contract dynamics, patients with high-deductible plans may find paying the full cash price upfront more cost-effective. It is important to note that the cash price of $265.00 is substantially lower than the highest negotiated rates observed among payers like Multiplan ($196) and Corvel Corporation ($173), suggesting that self-pay could be the most economical option for those without insurance or with limited coverage.
Patients should proactively contact the hospital to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can reduce the final bill by 20% to 50%. If you are using insurance, be aware that even at an in-network facility, certain services like laboratory tests may be billed separately, and while the No Surprises Act protects against balance billing for emergency care, it is crucial to verify that all ancillary services are covered under your plan. To ensure accuracy, request a detailed, itemized bill that lists specific CPT codes rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled charges. Disputing any discrepancies in writing with the billing supervisor is the most effective way