CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Northern Louisiana Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $591
  • Cash Discount Price: $464
  • vs. Medicare Baseline: 32.14x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Northern Louisiana Medical Center is $591. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $464. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 32.14x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$464

Average discount available for prompt cash payment at this facility.

Insurance Median
$591

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: $464 (2523%)
Insurance Median: $591 (3214%)
Cash: $464 (2523% of Medicare)
Ins. Median: $591 (3214% 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 3214% of the Medicare baseline (a markup of 3114%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Champus $15 82%
Champva $15 82%
Golden Rule Ins $15 - $507 82%
Tricare $15 - $18 82%
UnitedHealthcare $15 - $507 82%
Aetna $18 - $506 98%
Blue Cross Blue Shield $18 - $121 98%
Gulf South Services $18 98%
Humana $18 - $133 98%
Medicaid / KanCare $18 - $844 98%
Medicare (plans) $18 98%
Mutual Of Omaha $18 98%
Va $18 98%
Vantage Advantage $18 98%
Veterans Evaluation Svcs $18 98%
Vantage Health Plan Ppaca $35 190%
Vantage Health Plan $37 201%
First Health $39 - $717 212%
Verity Healthnet $414 2251%
Cigna $422 2295%
Kaiser Permanente $422 2295%
Gilsbar $464 2523%
Self Pay $464 2523%
Geha $675 - $802 3670%
Multiplan $717 3899%
Phcs $717 3899%
Work Comp City Of Ruston $760 4133%
Work Comp First Health $760 4133%
Work Comp Nlmc Emp $760 4133%
Workers Compensation $760 4133%
Aarp $844 4589%
Aflc American Family Life $844 4589%
American Life Accident $844 4589%
Apwu Health Plan $844 4589%
Bankers Life And Casualty $844 4589%
Benefit Trust Life $844 4589%
Crime Victims Compensatio $844 4589%
Equitable $844 4589%
Fox Everett Inc $844 4589%
Gmp Employers Retiree Tru $844 4589%
Gsu Athletics $844 4589%
Guarantee Trust Life Ins $844 4589%
Healthfirst Tpa $844 4589%
Hospice Of Caring Hearts $844 4589%
Ima Insurance $844 4589%
Industrial Accounts $844 4589%
Liberty Healthshare $844 4589%
Liberty Mutual Group $844 4589%
Lifecare Specialty Hosp $844 4589%
Lin Parish Detention $844 4589%
Lincoln Kidney Center $844 4589%
Ltu Athletics $844 4589%
Ltu Student Ins Bollinger $844 4589%
Mcr American Hlth Adv $844 4589%
Misc Commercial $844 4589%
Mva Insurance Payors $844 4589%
Nalc Health Benefit Plan $844 4589%
Nalc Natl Assoc Ltr Carri $844 4589%
Newera $844 4589%
Nlmc Community Services $844 4589%
Physicians Mutual Ins $844 4589%
Premier Hospice $844 4589%
Principal Mutual Life Ins $844 4589%
Protective Life Ins $844 4589%
Ruston Regional Specialty $844 4589%
Specialty Hosp Of Winnfie $844 4589%
State Farm Insurance $844 4589%
State Mutual Ins $844 4589%
Sterling Investors Life $844 4589%
The Hartford $844 4589%
Union Bankers Insurance C $844 4589%
Union Fidelity Life Ins $844 4589%
United American $844 4589%
United Teachers Ins $844 4589%
Us Dept Of Labor $844 4589%
Washington National Ins $844 4589%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals