Blood test, PSA (prostate screen)
Facility: Cheyenne County Hospital
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $107
- Cash Discount Price: $113
- vs. Medicare Baseline: 5.82x 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 582% of the Medicare baseline (a markup of 482%). 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 |
|---|---|---|
| UnitedHealthcare | $21 - $113 | 114% |
| Blue Cross Blue Shield | $67 | 364% |
| First Health - All Plans | $79 | 430% |
| Tricare | $81 | 440% |
| Aetna | $81 - $107 | 440% |
| Healthy Blue Mcr Adv | $81 | 440% |
| Choice Care - All Plans | $82 | 446% |
| Firstguard - All Plans | $90 | 489% |
| Wppa - All Plans | $102 | 555% |
| Cpm - All Plans | $107 | 582% |
| Preferred Hc - All Plans | $107 | 582% |
| Midlands Choice - All Plans | $110 | 598% |
| Health Partners - All Plans | $111 | 604% |
| Integrated Hp - All Plans | $111 | 604% |
| Ppo Next - All Plans | $111 | 604% |
| Unicare - All Plans | $111 | 604% |
| Childrens Mercy - All Plans | $113 | 614% |
| Healthy Blue Mcaid - All Other Plans | $113 | 614% |
| Healthwave Mcaid - All Plans | $113 | 614% |
| Providers Care-All Plans | $169 | 919% |
Consumer Guidance & Cost Commentary
For the blood test, PSA (prostate screen) procedure at Cheyenne County Hospital in St. Francis, KS, the cash price is $113.00, which matches the facility's gross charge and the state average. While the Medicare benchmark rate is $18.39, commercial insurance negotiated rates vary significantly, ranging from $21.00 with UnitedHealthcare to $169.00 with Providers Care-All Plans. The median negotiated rate across all payers is $107.00, which is higher than the cash price. For patients with high-deductible plans, paying the cash price of $113.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount.
Patients should verify their specific plan's allowed amount before scheduling, as in-network rates are not uniform and can vary by carrier. The facility offers a median negotiated rate of $90.00, which is lower than the cash price, but individual contracts may result in higher charges. To potentially reduce costs, patients should ask the hospital about self-pay or prompt-pay discounts, which can lower the bill by 20% to 50% if paid in full within a short window. Additionally, requesting an itemized billing audit is recommended to identify any errors or unbundled codes, as over 80% of hospital bills contain discrepancies that can be corrected to lower the final amount owed.