CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Rockcastle County Hospital, Inc.

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $132
Cash Discount Price: $211
vs. Medicare Baseline: 7.18x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Rockcastle County Hospital, Inc. is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 7.18x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.

Cash / Self-Pay

$211

Average discount available for prompt cash payment at this facility.

Insurance Median

$132

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: $211 (1147%)

Insurance Median: $132 (718%)

Cash: $211 (1147% of Medicare)

Ins. Median: $132 (718% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 718% of the Medicare baseline (a markup of 618%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Tricare	$14	76%
Blue Cross Blue Shield	$16 - $192	87%
Caresource Mcr Adv-All Other Plans	$18	98%
Humana	$18	98%
Molina Marketplace - All Other Plans	$18	98%
Molina Mcr Adv	$18	98%
Signature Mcr Adv-All Plans	$18	98%
Wellcare Mcr Adv-All Other Plans	$18	98%
Passport Hp Hmo - All Plans	$75	408%
Multiplan-All Plans	$236	1283%
Prime Health Services-All Plans	$236	1283%
Integrated Hp-All Plans	$247	1343%
Corvel - All Plans	$250	1359%
Center Care-All Plans	$264	1436%
Cigna	$270	1468%
Caresource Mcaid	$278	1512%
Coventry Mcaid-All Plans	$278	1512%
Medicaid / KanCare	$278	1512%
Molina Mcaid	$278	1512%
UnitedHealthcare	$278	1512%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $211.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84153.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Rockcastle County Hospital, Inc. is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84153.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.