CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Mercy Hospital Columbus

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $151
  • Cash Discount Price: $126
  • vs. Medicare Baseline: 8.21x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Mercy Hospital Columbus is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 8.21x the Medicare baseline. Located in 220 N Pennsylvania Avenue, Columbus, KS.
Cash / Self-Pay
$126

Average discount available for prompt cash payment at this facility.

Insurance Median
$151

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$18.39

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $18.39 (100%)
Cash / Self-Pay: $126 (685%)
Insurance Median: $151 (821%)
Cash: $126 (685% of Medicare)
Ins. Median: $151 (821% of 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 821% of the Medicare baseline (a markup of 721%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Centivo Contracted [320505] $2 11%
Humana $16 - $195 87%
Medicaid / KanCare $16 - $149 87%
UnitedHealthcare $17 - $170 92%
Blue Cross Blue Shield $17 - $149 92%
Medicare (plans) $18 - $155 98%
Novasys Contracted [320285] $18 98%
Aetna $18 - $184 98%
Ambetter / Centene $18 - $149 98%
Insurance System Inc Contracted [320465] $79 - $88 430%
Health Systems Inc Contracted [320174] $79 - $88 430%
Administrative Payor Contracted [320005] $83 - $92 451%
Kindful Hospice Contracted [320434] $134 - $149 729%
Mercy Hospice Okc [20252] $134 - $149 729%
Mercy Mgd Behavioral Health Contracted [320259] $134 - $149 729%
Pace Of The Ozarks Contracted [320518] $134 - $149 729%
Cross Timbers Hospice [20098] $134 - $149 729%
Home State Health Plan Contracted [320187] $134 - $149 729%
Globalhealth Contracted [320145] $134 - $149 729%
Kindful Hospice [20434] $134 - $149 729%
Halo Hcr Inc Hospice Contracted [320432] $134 - $149 729%
Tricare $134 - $149 729%
Elara Caring Aspire Hospice [20433] $134 - $149 729%
Cigna $134 - $149 729%
Cherokee Nation Health Serv Contracted [320066] $134 - $149 729%
Centurion Of Missouri [20459] $134 - $149 729%
Medical Associates Health Contracted [320444] $134 - $149 729%
Provider Partners Health Plans Contracted [320450] $134 - $149 729%
Indian Health Service Contracted [320198] $134 - $149 729%
Qual Choice Contracted [320325] $134 - $149 729%
Dept Of Veteran Affairs Contracted [320106] $134 - $149 729%
Halo Hcr Inc Hospice [20432] $134 - $149 729%
Healthscope Contracted [320182] $142 - $158 772%
Workers Comp [20426] $147 - $174 799%
United Medical Resources Contracted [320454] $153 - $195 832%
Medica Contracted [320239] $165 - $184 897%
Healthlink Contracted [320179] $166 - $195 903%
Usa Managed Care Org Contracted [320429] $166 - $184 903%
Mercy Benefit Admin Contracted [320251] $166 - $195 903%
First Health Contracted [320128] $166 - $184 903%
Federal Medical Center Contracted [320127] $166 - $184 903%
American Healthcare Alliance Contracted [320020] $166 - $184 903%
Preferred Health Plan Contracted [320522] $166 - $184 903%
Imagine 360 Contracted [320494] $175 - $195 952%
Auxiant Contracted [320462] $175 - $195 952%
Benefit Management Contracted [320052] $175 - $195 952%
90 Degree Benefits Contracted [320436] $175 - $195 952%
Edison Health Solutions Contracted [320502] $175 - $195 952%
Reflect Health Contracted [320492] $175 - $195 952%
Yuzu Health Contracted [320521] $175 - $195 952%
Point C Contracted [320238] $175 - $195 952%
Aither Health Contracted [320449] $175 - $195 952%
Show-Me Health Administrators Contracted [320483] $175 - $195 952%
Private Health Care Systems Contracted [320320] $175 - $195 952%
Ppo Plus Contracted [320310] $175 - $195 952%
Ebms Contracted [320493] $175 - $195 952%

Consumer Guidance & Cost Commentary

For the blood test, PSA (prostate screen) procedure at Mercy Hospital Columbus, the facility's cash price of $126.00 is significantly lower than the gross charge of $195.00 and sits below the median negotiated rate of $151.00 across 56 payers. While Medicare reimburses $18.39 for this service, commercial insurance contracts typically range from $2 to $195, with many plans paying between $134 and $149. Because commercial negotiated rates often exceed the cash price, patients with high-deductible plans may save money by paying out-of-pocket directly, provided they verify the facility's "self-pay" or "prompt-pay" discounts before scheduling. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still request an itemized bill to ensure no unbundled charges or services not rendered are included.

This facility, a Critical Access Hospital in Columbus, KS, operates under a voluntary non-profit church ownership structure. The data reflects pricing for the 2026-06 vintage, where the cash median of $126.00 serves as a key benchmark for cost transparency. Patients should be aware that commercial rates are often inflated by administrative overhead and contract dynamics, sometimes reaching 200% to 300% of the Medicare rate, whereas fair pricing is typically defined as 120% to 150% of Medicare. To avoid unexpected costs, consumers should compare the facility's specific rates against state or county averages and insist on a detailed, line-by-line itemized

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 220 N Pennsylvania Avenue, Columbus, KS 66725
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals