CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: Avoyelles Hospital
Billing Code: 84153 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84153
- Insurance Median: $66
- Cash Discount Price: $33
- vs. Medicare Baseline: 3.59x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Avoyelles Hospital is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 3.59x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$33
Average discount available for prompt cash payment at this facility.
Insurance Median
$66
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: $33 (179%)
Insurance Median: $66 (359%)
Cash: $33 (179% of Medicare)
Ins. Median: $66 (359% 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 359% of the Medicare baseline (a markup of 259%). 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 |
|---|---|---|
| Humana | $17 - $62 | 92% |
| Aetna | $18 - $62 | 98% |
| Bankers Life | $18 | 98% |
| Champva | $18 | 98% |
| Cigna | $18 - $62 | 98% |
| Correct Cr Int Hlt | $18 - $23 | 98% |
| Mcd Amerihealth Caritas | $18 - $23 | 98% |
| Mcd Healthy Blue | $18 - $23 | 98% |
| Mcd La Hc Conn | $18 - $23 | 98% |
| Mcr Lagniappe | $18 | 98% |
| Medeico Ins Co | $18 | 98% |
| Medicaid / KanCare | $18 - $23 | 98% |
| Medicare (plans) | $18 | 98% |
| Mmc Allwell | $18 | 98% |
| Mmc Blue Advantage | $18 | 98% |
| Mmc Healthy Blue Dual Adv | $18 | 98% |
| Mmc Mcr Hmo Miscellaneous | $18 | 98% |
| Mmc Priority Hlth Pffs | $18 | 98% |
| Mmc Vantage Hlth | $18 | 98% |
| Mmc Wellcare | $18 | 98% |
| Mutual Of Omaha | $18 | 98% |
| Neba Inc | $18 | 98% |
| Philadelphia American Lif | $18 | 98% |
| Sentinel Security Life | $18 | 98% |
| Trustmark Health Benefits | $18 - $110 | 98% |
| Tunica Biloxi | $18 - $110 | 98% |
| United Amer Ins | $18 | 98% |
| UnitedHealthcare | $18 - $23 | 98% |
| Veterans Evaluation Serv | $18 | 98% |
| Wps Vacca | $18 | 98% |
| Mcd Ms | $20 - $25 | 109% |
| All Savers | $23 | 125% |
| Geha | $23 | 125% |
| United Hlth One | $23 | 125% |
| Gulf South Zelis | $24 | 131% |
| Amer Contl Ins | $28 - $62 | 152% |
| Coventry | $28 - $62 | 152% |
| First Choice Health | $28 - $62 | 152% |
| Meritan Health | $28 - $110 | 152% |
| Blue Cross Blue Shield | $29 | 158% |
| Ofc Of Grp Bene | $29 | 158% |
| Student Assurances | $33 - $110 | 179% |
| Ppo Plus Llc | $66 | 359% |
| Zelis Healthcare Bpa | $66 | 359% |
| Gilsbar | $69 | 375% |
| Amerind | $99 | 538% |
| Applied Underwriters | $99 | 538% |
| Sedgwick | $99 | 538% |
| Us Dept Of Labor | $99 | 538% |
| Wc Clms Admin Svcs | $99 | 538% |
| Wc Clms Mgmnt Walmart | $99 | 538% |
| Wc Esis | $99 | 538% |
| Wc Fara | $99 | 538% |
| Wc Gallagher Bassett | $99 | 538% |
| Wc Guide One | $99 | 538% |
| Wc Hartford Med | $99 | 538% |
| Wc Luba | $99 | 538% |
| Wc Lwcc | $99 | 538% |
| Wc Paragon Casino Resort | $99 | 538% |
| Wc Risk Mgmnt | $99 | 538% |
| Wc Stone Trust | $99 | 538% |
| Wc Summit Consulting Hold | $99 | 538% |
| Wc Travelers Ins | $99 | 538% |
| Wc Trs Workers Comp Claim | $99 | 538% |
| Wc Us Dol | $99 | 538% |
| Wc Zurich | $99 | 538% |
| Aarp | $110 | 598% |
| Admin Concepts | $110 | 598% |
| All Saints Hospice | $110 | 598% |
| All State | $110 | 598% |
| Allegiance Health Hospice | $110 | 598% |
| Allied Natl | $110 | 598% |
| Amfirst | $110 | 598% |
| Avoy Parish School Board | $110 | 598% |
| Avoyelles Parish Sheriff | $110 | 598% |
| Bollinger | $110 | 598% |
| Ccmsi | $110 | 598% |
| Central States | $110 | 598% |
| Christus Health Plan | $110 | 598% |
| Compassionate Care Hospic | $110 | 598% |
| Core Source | $110 | 598% |
| Coushatta Hlth Dept | $110 | 598% |
| Ebms | $110 | 598% |
| Federated Ins | $110 | 598% |
| Feedom Life | $110 | 598% |
| Fidelity Standard Life Co | $110 | 598% |
| Fox Everette | $110 | 598% |
| Guarantee Trust | $110 | 598% |
| Heart Of Hospice | $110 | 598% |
| Hos Christus Hospice | $110 | 598% |
| Hos Guardian Hospice Care | $110 | 598% |
| Hos Harbor Hospice Alex | $110 | 598% |
| Hos La Hospice Palliative | $110 | 598% |
| Hos Passages Hospice N. | $110 | 598% |
| Hos St Joseph Hospice | $110 | 598% |
| Hospice Miscellaneous | $110 | 598% |
| Ins Mgmnt Admin | $110 | 598% |
| Ins Tpa | $110 | 598% |
| Liberty Health Share | $110 | 598% |
| Lumico | $110 | 598% |
| Manhattan Life Ins | $110 | 598% |
| Medi Share | $110 | 598% |
| Misc Comm | $110 | 598% |
| Nalc | $110 | 598% |
| New Era Life | $110 | 598% |
| North American | $110 | 598% |
| Phcs | $110 | 598% |
| Physicians Mutual | $110 | 598% |
| Pipeline Ind Bene | $110 | 598% |
| Progressive Auto | $110 | 598% |
| Reliance Standard Life | $110 | 598% |
| Rural Carriers | $110 | 598% |
| Shelter Ins Co | $110 | 598% |
| Sierre Health And Life | $110 | 598% |
| State Farm | $110 | 598% |
| State Mutual | $110 | 598% |
| Sterling Investors | $110 | 598% |
| The Health Plan | $110 | 598% |
| Tribal Hlth Partners | $110 | 598% |
| Tricare | $110 | 598% |
| Uct | $110 | 598% |
| Unified Life | $110 | 598% |
| Usaa Life Ins | $110 | 598% |
| Web-Tpa | $110 | 598% |
| Woodmen Of The World | $110 | 598% |