Blood test, PSA (prostate screen)
Facility: Neosho Memorial Regional Medical Center
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $52
- Cash Discount Price: $96
- vs. Medicare Baseline: 2.83x 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 283% of the Medicare baseline (a markup of 183%). 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 |
|---|---|---|
| Tricare | $17 - $62 | 92% |
| Medicaid / KanCare | $18 | 98% |
| Va_Ccn | $18 - $64 | 98% |
| Aetna | $18 - $64 | 98% |
| Blue Cross Blue Shield | $18 - $75 | 98% |
| Medicare (plans) | $18 - $64 | 98% |
| Humana | $18 - $64 | 98% |
| Medadv_Allwell | $18 - $64 | 98% |
| Medadv_Uhc | $18 - $64 | 98% |
| Ambetter / Centene | $19 - $67 | 103% |
| Wppa_Providrscare | $46 - $166 | 250% |
| United | $46 - $166 | 250% |
| Hpk | $52 - $190 | 283% |
| Coventry | $52 - $190 | 283% |
| Cigna | $52 - $190 | 283% |
Consumer Guidance & Cost Commentary
For the blood test, PSA (prostate screen) procedure at Neosho Memorial Regional Medical Center in Chanute, KS, the facility's cash median price is $96.00, which is lower than the state average of $134.00. While commercial insurance plans like Hpk and Coventry have negotiated rates reaching up to $190, the cash price remains the most affordable option for patients without insurance or those with high-deductible plans. Because commercial negotiated rates often include administrative overhead and can exceed the cash price, patients should verify their specific plan's allowed amount before scheduling. It is also important to note that while the facility is a Critical Access Hospital with a government-local ownership structure, the cash rate of $96.00 is significantly lower than the Medicare benchmark of $18.39 for this specific code, highlighting the substantial markup applied by commercial payers.
To ensure you are paying the lowest possible amount, you should request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If you choose to pay out-of-pocket, ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if paid in full upfront. Additionally, be aware that while the No Surprises Act protects you from balance billing for emergency care at in-network facilities, you must still review your itemized statement to confirm no unexpected charges were added. Always compare the facility's negotiated rates against the state average to understand the true cost of care, and remember that the cash price of $96.0