CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Abbeville General Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $25
Cash Discount Price: $35
vs. Medicare Baseline: 1.36x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Abbeville General Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.36x the Medicare baseline. Located in 118 N Hospital Dr, Abbeville, LA.

Cash / Self-Pay

$35

Average discount available for prompt cash payment at this facility.

Insurance Median

$25

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: $35 (190%)

Insurance Median: $25 (136%)

Cash: $35 (190% of Medicare)

Ins. Median: $25 (136% 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.

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	$9 - $84	49%
Cigna	$11 - $57	60%
Self Pay	$13 - $58	71%
Humana	$16 - $87	87%
Aetna	$18 - $81	98%
Healthy Blue	$18	98%
Medicare (plans)	$18	98%
People'S Health	$18	98%
Sierra Health And Life Insurance	$18	98%
Sterling Life Insurance Company	$18	98%
UnitedHealthcare	$18 - $92	98%
Gilsbar Ppo	$19 - $90	103%
Ppo Plus	$19 - $87	103%
United Behavioral Health Inc	$19 - $87	103%
Verity Healthnet National	$19 - $87	103%
American Lifecare (Phcs)	$20 - $92	109%
Guardian Resources	$20 - $92	109%
Magellan Behavioral Health	$20	109%
Coventry Company	$22 - $98	120%
Galaxy Health Network	$22 - $98	120%
Usa Managed Care	$22 - $98	120%
Health Payors Organization	$23 - $104	125%
Miscellaneous Insurance	$25 - $116	136%
Ppo Plus Professional	$25 - $40	136%
Wellcare Of Louisiana	$25 - $116	136%
Vantage Health Plan	$39 - $208	212%
Office Of Group Benefits	$50	272%

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 $35.
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 Abbeville General 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.