Blood test, PSA (prostate screen)
Facility: Goodland Regional Medical Center
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $130
- Cash Discount Price: $130
- vs. Medicare Baseline: 7.07x 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 707% of the Medicare baseline (a markup of 607%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $68 | 370% |
| Wppa | $122 - $130 | 663% |
| UnitedHealthcare | $130 | 707% |
Consumer Guidance & Cost Commentary
For the blood test, PSA (prostate screen) procedure at Goodland Regional Medical Center in Goodland, KS, the cash median price is $130.00, which is lower than the facility's negotiated rates of $130.00 and the commercial payer ranges of $68 to $130. While the facility is a Critical Access Hospital with a government-local ownership structure, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract dynamics. If you have a high-deductible plan, paying the cash price of $130.00 upfront may result in lower out-of-pocket costs compared to your insurance's allowed amount, provided you have not yet met your deductible. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these can further reduce the final cost for immediate payment.
This service is benchmarked against the Medicare rate of $18.39, showing a 7.1% variance, which highlights the significant markup inherent in commercial billing structures. Although the data does not provide specific state or county average comparisons for this specific CPT code, the facility's cash rate remains a key reference point for consumers evaluating costs. To avoid unexpected balance billing, particularly from out-of-network ancillary services like laboratory tests, patients should request an itemized bill that breaks down every CPT code and unit cost before agreeing to payment terms. If you receive a bill that appears inflated or includes services not rendered, you have the right to dispute it in writing with the billing supervisor to ensure accuracy and protect yourself from unnecessary debt.