CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Medicine Lodge Memorial Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $120
  • Cash Discount Price: $138
  • vs. Medicare Baseline: 6.53x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Medicine Lodge Memorial Hospital is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 6.53x the Medicare baseline. Located in 710 N Walnut Street, Medicine Lodge, KS.
Cash / Self-Pay
$138

Average discount available for prompt cash payment at this facility.

Insurance Median
$120

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: $138 (750%)
Insurance Median: $120 (653%)
Cash: $138 (750% of Medicare)
Ins. Median: $120 (653% 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 653% of the Medicare baseline (a markup of 553%). 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
Tricare $71 - $163 386%
Humana $81 - $186 440%
Aetna $82 - $204 446%
Hpk-All Plans $84 - $194 457%
UnitedHealthcare $84 - $194 457%
Medicaid / KanCare $89 - $204 484%

Consumer Guidance & Cost Commentary

For the CPT code 84153, representing a prostate-specific antigen (PSA) blood test, Medicine Lodge Memorial Hospital in Medicine Lodge, KS, lists a cash price of $138.00. This cash rate is identical to the facility's median negotiated rate of $138.00, which is notably higher than the state average of $89.00. While commercial payers like Aetna and UnitedHealthcare negotiate rates ranging from $84 to $204, patients with high-deductible plans may find paying the full cash price of $138.00 more cost-effective than relying on insurance, as the insurer's allowed amount could exceed the cash rate. Because the facility is a Critical Access Hospital owned by a Government Hospital District, patients should proactively ask about self-pay or prompt-pay discounts before scheduling, as these upfront incentives can bypass the administrative costs and higher negotiated rates typically associated with insurance billing.

The Medicare benchmark for this service is $18.39, which serves as a critical baseline for evaluating the facility's pricing structure. The facility's cash price of $138.00 represents a significant markup relative to this federal rate, illustrating the difference between the true cost of care and the commercial chargemaster. Under federal protections such as the No Surprises Act, patients should be aware that balance billing for out-of-network services at in-network facilities is generally prohibited, though they must still verify that ancillary services like laboratory tests are covered under their plan. To ensure accuracy and avoid unexpected charges, consumers are advised to request a full itemized bill containing specific CPT codes rather than accepting summary invoices, and to dispute any

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 710 N Walnut Street, Medicine Lodge, KS 67104
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals