CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Deaconess Henderson Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $18
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Deaconess Henderson Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 0.98x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $30 (163%)
Insurance Median: $18 (98%)
Cash: $30 (163% of Medicare)
Ins. Median: $18 (98% 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.

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
Blue Cross Blue Shield $10 - $18 54%
UnitedHealthcare $11 - $22 60%
Wellcare Il $13 - $18 71%
Humana $17 - $19 92%
Aetna $18 - $33 98%
Alliance Coal $18 - $19 98%
Caresource In $18 98%
Center Care Narrow $18 - $19 98%
Center Care Open Access $18 - $19 98%
Encircle/Encore Combined $18 - $28 98%
Encircle/Encore Prime $18 - $28 98%
Iu Health Plans $18 - $33 98%
Ky Racing Health & Welfare Fund $18 - $42 98%
Medicaid / KanCare $18 98%
Medicare (plans) $18 98%
Mhs Mco $18 98%
Molina Healthcare Of Ky $18 98%
Molina Healthcare Of Ky - Exchange $18 98%
Mytru Advantage $18 98%
One Care $18 98%
Self-Pay $18 - $42 98%
Umwa $18 98%
Wellcare Ky $18 - $22 98%
Caresource In Marketplace $24 - $28 131%
Wellcare Ky Commercial Exchange $24 - $38 131%
Hopetrust $26 - $72 141%
Hstechnology $26 - $72 141%
Amish And Mennonite Of Western Ky $28 - $78 152%
Noncontracted $29 158%
Cigna $30 - $72 163%
Claimdoc $30 - $72 163%
First Health Network (Coventry) $33 179%
Healthlink $33 179%
Phcs/Multiplan $33 179%
Sagamore $33 179%
Coventry National Network $40 - $96 218%
Webster County Detention Center $40 - $96 218%
Henderson County Detention Center $45 - $108 245%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals