CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Surgical Specialty Center of Baton Rouge

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $24
Cash Discount Price: $161
vs. Medicare Baseline: 1.31x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Surgical Specialty Center of Baton Rouge is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.31x the Medicare baseline. Located in 8080 Bluebonnet Blvd, Baton Rouge, LA.

Cash / Self-Pay

$161

Average discount available for prompt cash payment at this facility.

Insurance Median

$24

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: $161 (875%)

Insurance Median: $24 (131%)

Cash: $161 (875% of Medicare)

Ins. Median: $24 (131% 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
Uhc_Commcoffee	$11	60%
Aetna	$18 - $19	98%
Amerihealth	$18	98%
Blue Cross Blue Shield	$18 - $23	98%
Cigna	$18	98%
Healthy_Blue	$18	98%
Humana	$18 - $28	98%
Lhc	$18	98%
Medadv-Peoples	$18	98%
Medicaid / KanCare	$18	98%
Medicare (plans)	$18	98%
United	$18	98%
UnitedHealthcare	$18	98%
United_Caid	$18	98%
Va	$18	98%
Wellcare	$19	103%
Verity	$21	114%
Lucent	$26	141%
Ambetter / Centene	$34	185%
Workcomp_Saints	$42	228%
Lsufirst	$49	266%
Gilsbar	$105	571%
Multiplan-Pos	$129	701%
Multiplan-Ppo	$129	701%
Ppoplus	$131	712%
Stjude	$140	761%
Bayou-Med	$150	816%
Dma	$150	816%
Lsu	$150	816%
Southern-Univ	$150	816%
Womans_Hosp	$150	816%
Reny	$161	875%
Ehn	$172	935%
Workcomp_3R	$174	946%
Three_Rivers	$183	995%
Workcomp_Strat	$183	995%
Geha	$189	1028%
Workcomp_Fp	$194	1055%
Usa_Mco	$202	1098%

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 $161.
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 Surgical Specialty Center of 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.