Blood test, PSA (prostate screen)
Facility: Via Christi Hospital Wichita St Teresa, 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% |
| Va | $18 | 98% |
| Humana | $18 | 98% |
| Medicare (plans) | $18 - $19 | 98% |
| Saint Lukes Health Systems | $18 | 98% |
| Via Christi Research | $18 | 98% |
| Vc Hope | $18 | 98% |
| Blue Cross Blue Shield | $19 | 103% |
| UnitedHealthcare | $19 - $51 | 103% |
| Corizon | $23 | 125% |
| 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, the negotiated rates at Via Christi Hospital Wichita St Teresa, Inc. range from $17 to $74 across 13 different payers, with a median negotiated amount of $19.00. This facility is a voluntary non-profit church-owned acute care hospital located in Wichita, Kansas. While the data does not provide specific cash or median paid figures for this service, patients should be aware that cash-pay options can sometimes result in lower out-of-pocket costs if their insurance negotiated rate exceeds the cash price. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can offer significant fee reductions for upfront payments.
When evaluating the cost of this procedure, it is important to compare rates against the Medicare benchmark rather than the facility's full chargemaster list. The Medicare amount for this code is $18.39, which serves as a scientifically validated baseline for the true cost of delivery. Commercial negotiated rates often exceed this baseline due to administrative structures and contract dynamics, and patients should avoid assuming that in-network status guarantees the lowest possible price. To ensure accuracy and avoid unexpected charges, consumers should request a full itemized bill before paying, as summary bills may obscure individual line items or unbundled codes. Additionally, if any balance billing occurs, patients have protections under the No Surprises Act for emergency care and non-emergency services at in-network facilities.