CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Ochsner American Legion Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $21
Cash Discount Price: $25
vs. Medicare Baseline: 1.14x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Ochsner American Legion Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.14x the Medicare baseline. Located in 1634 Elton Road, Jennings, LA.

Cash / Self-Pay

$25

Average discount available for prompt cash payment at this facility.

Insurance Median

$21

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: $25 (136%)

Insurance Median: $21 (114%)

Cash: $25 (136% of Medicare)

Ins. Median: $21 (114% 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 - $39	49%
Aetna	$18 - $66	98%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$18	98%
Healthy Blue (Healthy Louisiana)	$18	98%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$18	98%
Humana	$18	98%
Louisiana Healthcare Connections (Healthy Louisiana)	$18	98%
Medicare (plans)	$18	98%
Ochsner Health Plan	$18	98%
Tricare	$18	98%
UnitedHealthcare	$18	98%
Wellcare Of Louisiana	$18	98%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$19	103%
Verity Commercial And First Choice Network	$21	114%
Provider Network Of America	$31	169%
Cigna	$35	190%
Zelis	$40 - $70	218%
Louisiana Workers' Compensation Corporation (Lwcc)	$43 - $908	234%
Healthcomp & Personify Health (Formerly Gilsbar)	$45 - $80	245%

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 $25.
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 Ochsner American Legion 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.