Blood test, PSA (prostate screen)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $68
- Cash Discount Price: $85
- vs. Medicare Baseline: 3.70x 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 370% of the Medicare baseline (a markup of 270%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $23 | 125% |
| UnitedHealthcare | $27 - $94 | 147% |
| Berkley Net-All Plans | $38 | 207% |
| Aetna | $41 - $64 | 223% |
| Trustmark Health Benefits-All Plans | $41 | 223% |
| Meritain Health-All Plans | $42 | 228% |
| Ambetter / Centene | $45 | 245% |
| Axa Equitable - All Plans | $52 | 283% |
| Pinnacol-All Plans | $53 | 288% |
| Medi-Share-All Plans | $54 | 294% |
| Presbyterian-All Plans | $57 | 310% |
| Kasb Work Comp - All Plans | $60 | 326% |
| The Kempton Group Admin-All Plans | $65 | 353% |
| Gpha(Wppa)-All Other Plans | $66 | 359% |
| Auxiant - All Plans | $66 | 359% |
| Wppa- All Plans | $67 | 364% |
| Sisco-All Plans | $68 | 370% |
| Providers Care Network- All Plans | $68 | 370% |
| Emc-All Plans | $68 | 370% |
| Gpha Employee Benefit Plan | $69 | 375% |
| Regional Care(Wppa)-All Plans | $70 | 381% |
| Employee Benefit-All Plans | $70 | 381% |
| Triangle-All Plans | $71 | 386% |
| First Health -All Plans | $71 | 386% |
| One Call Physician-All Plans | $72 | 392% |
| Blue Cross Blue Shield | $74 | 402% |
| Christian Hospital Aid - All Plans | $75 | 408% |
| Tricare | $75 | 408% |
| Humana | $81 | 440% |
| Cigna | $83 | 451% |
| Luminare Health- All Plans | $83 | 451% |
| Coresource-All Plans | $85 | 462% |
| Deseret Mutual(Uhis)-All Plans | $85 | 462% |
| Vaccn-All Plans | $86 | 468% |
| Wps Vapc-All Plans | $89 | 484% |
| Hma Llc-All Plans | $89 | 484% |
| Reserve National-All Plans | $89 | 484% |
| Medicaid / KanCare | $94 | 511% |
Consumer Guidance & Cost Commentary
For the blood test, PSA (prostate screen) procedure at Satanta District Hospital, the facility's cash median rate of $85.00 is notably higher than the state average of $68.00. While commercial insurance plans typically negotiate rates ranging from $23 to $94, many of these negotiated amounts exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket. It is important to verify your specific plan's allowed amount before scheduling, as some in-network rates can be significantly higher than the cash rate. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance billing cycles.
When reviewing your final invoice, ensure you receive a detailed, itemized bill rather than a summary that groups charges into broad categories like "Laboratory." Over 80% of hospital bills contain errors, including double-billing or unbundled codes, and a formal written audit dispute sent to the billing supervisor is the most effective way to resolve these issues. Furthermore, this service's price is 3.7 times the Medicare benchmark rate of $18.39, which serves as the objective baseline for fair pricing. While commercial rates often average 200% to 300% of Medicare, fair pricing is typically defined as 120% to 150% of this rate. If you receive a balance bill for out-of-network ancillary services, you have the right to dispute it under the No Surprises Act, but you must avoid