Blood test, PSA (prostate screen)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $19
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.03x 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.
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 |
|---|---|---|
| Smarthealth | $17 - $26 | 92% |
| Vc Hope | $18 | 98% |
| Medicare (plans) | $18 - $19 | 98% |
| Va | $18 | 98% |
| Humana | $18 | 98% |
| Blue Cross Blue Shield | $19 | 103% |
| UnitedHealthcare | $19 - $51 | 103% |
| Cigna | $28 | 152% |
| Medicaid / KanCare | $31 | 169% |
| Aetna | $58 - $65 | 315% |
| Coventry City Of Wichita | $74 | 402% |
Consumer Guidance & Cost Commentary
For the blood test, PSA (prostate screen) procedure at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates range from $17 to $74 depending on the insurance carrier. While the facility's median negotiated rate of $19.00 is slightly higher than the Medicare benchmark of $18.39, it remains significantly lower than the highest negotiated rates observed for this service in the state, which can reach up to $65 for some payers. Because commercial insurance contracts often include administrative overheads that inflate the baseline price by 20% to 40%, patients with high-deductible plans may find that paying the cash price directly is more cost-effective than relying on insurance, provided the facility offers a self-pay or prompt-pay discount.
It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details before scheduling. If a patient chooses to pay out-of-pocket, they should explicitly request a "self-pay" classification and ask about prompt-pay discounts, which can reduce the total cost by 20% to 50% by bypassing the costly claims processing cycle. Furthermore, if a patient receives an itemized bill, they should request a full line-by-line audit to ensure no errors, double-billing, or unbundled codes are present, as over 80% of hospital bills contain discrepancies that can be resolved through a formal written dispute sent to the billing supervisor.