CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Ochsner Medical Center - Baton Rouge

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $32
Cash Discount Price: $39
vs. Medicare Baseline: 1.74x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Ochsner Medical Center - Baton Rouge is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.74x the Medicare baseline. Located in 17000 Medical Center Dr, Baton Rouge, LA.

Cash / Self-Pay

$39

Average discount available for prompt cash payment at this facility.

Insurance Median

$32

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: $39 (212%)

Insurance Median: $32 (174%)

Cash: $39 (212% of Medicare)

Ins. Median: $32 (174% 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
Medicaid / KanCare	$17	92%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$18	98%
Blue Cross Blue Shield	$18 - $37	98%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$18	98%
Humana	$18	98%
Medicare (plans)	$18	98%
Ochsner Health Plan	$18	98%
Tricare	$18	98%
UnitedHealthcare	$18	98%
Aetna	$19 - $47	103%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$19	103%
Healthy Blue (Healthy Louisiana)	$19	103%
Louisiana Healthcare Connections (Healthy Louisiana)	$19	103%
Zelis	$25	136%
Claritev D/B/A Multiplan/Phcs/American Life Care	$61 - $68	332%
Healthcomp & Personify Health (Formerly Gilsbar)	$61 - $68	332%
Louisiana Workers' Compensation Corporation (Lwcc)	$76 - $85	413%
Mississippi Physicians Care Network	$76 - $85	413%
First Health Network	$82 - $90	446%
Cigna	$87	473%
Prime Health Services Ppo	$87 - $96	473%
Usa Managed Care Network	$87 - $96	473%

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 $39.
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 Medical Center - Baton Rouge 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.