CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: University of Louisville Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $69
Cash Discount Price: $57
vs. Medicare Baseline: 3.75x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at University of Louisville Hospital is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 3.75x the Medicare baseline. Located in 530 South Jackson Street, Louisville, KY.

Cash / Self-Pay

$57

Average discount available for prompt cash payment at this facility.

Insurance Median

$69

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: $57 (310%)

Insurance Median: $69 (375%)

Cash: $57 (310% of Medicare)

Ins. Median: $69 (375% 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 375% of the Medicare baseline (a markup of 275%). 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
Blue Cross Blue Shield	$16 - $238	87%
Aetna	$17 - $40	92%
Humana	$17 - $40	92%
Essence Health	$18	98%
Senior Care Community Of Ky	$18	98%
UnitedHealthcare	$18 - $114	98%
Va Ccn	$18	98%
Communicare	$19	103%
Devoted	$19 - $71	103%
Passport	$19 - $119	103%
Signature	$19 - $119	103%
Wellcare	$21 - $26	114%
Velocity	$23 - $233	125%
Key Benefit Administrators	$24	131%
Cigna	$30	163%
Prime Group Health	$66 - $202	359%
Cshn	$155 - $238	843%
Multiplan	$157 - $214	854%
Encore	$167	908%
Health Smart	$178	968%
Omca	$226	1229%
Corvel	$238	1294%
National Comp Care	$238	1294%

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 $57.
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 University of Louisville Hospital 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.