CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Satanta District Hospital, Clinics, & Ltcu

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $68
  • Cash Discount Price: $85
  • vs. Medicare Baseline: 3.70x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Satanta District Hospital, Clinics, & Ltcu is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 3.70x the Medicare baseline. Located in 401 Cheyenne, Satanta, KS.
Cash / Self-Pay
$85

Average discount available for prompt cash payment at this facility.

Insurance Median
$68

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: $85 (462%)
Insurance Median: $68 (370%)
Cash: $85 (462% of Medicare)
Ins. Median: $68 (370% 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 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.

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
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

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Cheyenne, Satanta, KS 67870
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals