Blood test, PSA (prostate screen)
Facility: Republic County Hospital
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $107
- Cash Discount Price: $87
- 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 |
|---|---|---|
| Rural Carriers-All Plans | $99 | 538% |
| Aetna | $104 | 566% |
| Meritain-All Plans | $104 | 566% |
| UnitedHealthcare | $107 | 582% |
| Cigna | $110 | 598% |
| First Health-All Plans | $110 | 598% |
| Midlands Choice-All Plans | $110 | 598% |
Consumer Guidance & Cost Commentary
For the blood test, PSA (prostate screen) service at Republic County Hospital in Belleville, KS, the facility's cash median price is $87.00, which is lower than the state average of $104.00. While the hospital's negotiated rate with insurance carriers averages $107.00, patients with high-deductible plans may find paying the cash price of $87.00 more advantageous if their insurance negotiated rate exceeds this amount. It is important to note that the facility's cash rate is also lower than the Medicare benchmark of $18.39 when adjusted for the local wage index, highlighting the significant markup often found in commercial billing structures.
Patients should verify whether the facility offers "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final cost. Although the hospital is a voluntary non-profit Critical Access Hospital, the negotiated rates across seven payers range from $99 to $110, which are higher than the cash price due to administrative overhead and contract dynamics. To ensure you are receiving the best possible rate, always request an itemized bill and confirm that no balance billing will occur, as federal protections under the No Surprises Act prevent unexpected charges for out-of-network services at in-network facilities.