CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: Mercy Health Lakeshore Campus
Billing Code: 84153 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84153
- Insurance Median: $22
- Cash Discount Price: $44
- vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Mercy Health Lakeshore Campus is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.20x the Medicare baseline. Located in 72 South State Street, Shelby, MI.
Cash / Self-Pay
$44
Average discount available for prompt cash payment at this facility.
Insurance Median
$22
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: $44 (239%)
Insurance Median: $22 (120%)
Cash: $44 (239% of Medicare)
Ins. Median: $22 (120% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Molina Marketplace | $10 - $45 | 54% |
| Blue Cross Blue Shield | $14 - $93 | 76% |
| Hospice Of Michigan | $14 - $60 | 76% |
| Medicaid / KanCare | $14 | 76% |
| Nomi Health | $14 - $61 | 76% |
| Access Health | $18 | 98% |
| Aetna | $18 - $87 | 98% |
| Align Senior Care | $18 | 98% |
| Blue Care Network Advantage | $18 | 98% |
| Correctional Recovery | $18 | 98% |
| Medicare (plans) | $18 | 98% |
| Oscar | $18 | 98% |
| UnitedHealthcare | $18 - $98 | 98% |
| Hap | $19 - $82 | 103% |
| Geha | $20 - $98 | 109% |
| Meritain | $20 - $87 | 109% |
| Wc Accident Fund | $20 - $86 | 109% |
| Wc Advantage | $20 - $86 | 109% |
| Wc Aig | $20 - $86 | 109% |
| Wc Allied | $20 - $86 | 109% |
| Wc Amerisure | $20 - $86 | 109% |
| Wc Amtrust | $20 - $86 | 109% |
| Wc Asu Risk Mgt | $20 - $86 | 109% |
| Wc Berkley Admin | $20 - $86 | 109% |
| Wc Broadspire | $20 - $86 | 109% |
| Wc Bunch & Associates | $20 - $86 | 109% |
| Wc Ccmsi | $20 - $86 | 109% |
| Wc Emc Insurance Company | $20 - $86 | 109% |
| Wc Esis | $20 - $86 | 109% |
| Wc Fcci | $20 - $86 | 109% |
| Wc Federated | $20 - $86 | 109% |
| Wc Gallagher Bassett | $20 - $86 | 109% |
| Wc Genex Care For Ohio | $20 - $86 | 109% |
| Wc Guard Insurance Company | $20 - $86 | 109% |
| Wc Hartford | $20 - $86 | 109% |
| Wc Liberty Mutual | $20 - $86 | 109% |
| Wc Meijers | $20 - $86 | 109% |
| Wc Michigan | $20 - $86 | 109% |
| Wc Mitchell Frankenmuth | $20 - $86 | 109% |
| Wc Pma | $20 - $86 | 109% |
| Wc Sedgwick | $20 - $86 | 109% |
| Wc Sentry | $20 - $86 | 109% |
| Wc Travelers | $20 - $86 | 109% |
| Wc Tristar | $20 - $86 | 109% |
| Wc Walmart | $20 - $86 | 109% |
| Wc Zurich | $20 - $86 | 109% |
| 1199 National Benefit Fund | $21 - $94 | 114% |
| Allied National Global Care | $21 - $94 | 114% |
| Asr Health Benefits | $21 - $91 | 114% |
| Asrm - Reliance Standard Life Insurance | $21 - $94 | 114% |
| Bcn Domestic | $21 - $93 | 114% |
| Blue Benefit Administrators Of Massachusetts | $21 - $93 | 114% |
| Blue Care Network | $21 - $93 | 114% |
| Blue Distinction Transplant | $21 - $93 | 114% |
| Blue Shield - Ca | $21 - $93 | 114% |
| Blue Shield - Id (Regence) | $21 - $93 | 114% |
| Blue Shield - Ny Highmark Northeastern | $21 - $93 | 114% |
| Blue Shield - Ny Highmark Western | $21 - $93 | 114% |
| Blue Shield - Pa (Highmark) | $21 - $93 | 114% |
| Blue Shield - Wa (Regence) | $21 - $93 | 114% |
| Christian Care Ministry | $21 - $94 | 114% |
| Dean Health | $21 - $94 | 114% |
| Fallon Health | $21 - $94 | 114% |
| Family Life Insurance Company | $21 - $94 | 114% |
| Ghc Scw | $21 - $94 | 114% |
| Group Pension Administrators | $21 - $94 | 114% |
| Health Choices | $21 - $98 | 114% |
| International Benefit Administrators | $21 - $94 | 114% |
| Kaiser Domestic | $21 - $93 | 114% |
| Lifetime Benefit Solutions | $21 - $94 | 114% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $21 | 114% |
| Manhattan Life | $21 - $94 | 114% |
| Medi Share | $21 - $94 | 114% |
| Multiplan | $21 - $94 | 114% |
| Mvp | $21 - $94 | 114% |
| Pai | $21 - $94 | 114% |
| Pan-American Life | $21 - $94 | 114% |
| Paramount Hmo | $21 - $94 | 114% |
| Phcs | $21 - $94 | 114% |
| Trinity Health Share | $21 - $94 | 114% |
| Acclaim | $22 - $98 | 120% |
| Administrative Concepts | $22 - $98 | 120% |
| Allegeant | $22 - $98 | 120% |
| Allied Benefit Systems | $22 - $98 | 120% |
| Ameriben | $22 - $98 | 120% |
| American Family | $22 - $98 | 120% |
| American Healthcare Alliance | $22 - $98 | 120% |
| American Republic | $22 - $98 | 120% |
| Amerihealth | $22 - $98 | 120% |
| Aultcare | $22 - $98 | 120% |
| Automated Benefit Services | $22 - $98 | 120% |
| Auxiant | $22 - $98 | 120% |
| Benefit Administrative Systems,Llc | $22 - $98 | 120% |
| Boon Chapman | $22 - $98 | 120% |
| Cam Administrative Services | $22 - $98 | 120% |
| Christian Brother Services | $22 - $98 | 120% |
| Christian Brothers Holy Cross | $22 - $98 | 120% |
| Cigna | $22 - $95 | 120% |
| Claimchoice Adminstrators | $22 - $98 | 120% |
| Comprehensive Benefits | $22 - $98 | 120% |
| Consociate | $22 - $98 | 120% |
| Continental Life Insurance | $22 - $98 | 120% |
| Custom Benefit Administrators | $22 - $98 | 120% |
| Cypress Benefit Administrators | $22 - $98 | 120% |
| Employee Benefit Concepts | $22 - $98 | 120% |
| Employee Benefit Management | $22 - $98 | 120% |
| Enterprise Group Planning | $22 - $98 | 120% |
| Forest County Potawatomi | $22 - $98 | 120% |
| Freedom Life Insurance Company | $22 - $98 | 120% |
| Group Administrators | $22 - $98 | 120% |
| Group Marketing Services | $22 - $98 | 120% |
| Guardian | $22 - $98 | 120% |
| Health America | $22 - $98 | 120% |
| Health Smart | $22 - $98 | 120% |
| Healthez | $22 - $98 | 120% |
| Healthgram | $22 - $98 | 120% |
| Healthscope | $22 - $98 | 120% |
| Humana | $22 - $98 | 120% |
| Insight | $22 - $98 | 120% |
| Intercare | $22 - $98 | 120% |
| Jfp Benefit Management | $22 - $98 | 120% |
| Jp Farley Corporation | $22 - $98 | 120% |
| Key Benefit Administrator | $22 - $98 | 120% |
| Liberty Union Life Assurance Co | $22 - $98 | 120% |
| Lucent Health | $22 - $98 | 120% |
| Luminare Health | $22 - $98 | 120% |
| Luminare Health (Detroit) | $22 - $98 | 120% |
| Medben | $22 - $98 | 120% |
| Medcost | $22 - $98 | 120% |
| Medical Mutual | $22 - $98 | 120% |
| Mutual Health Services | $22 - $98 | 120% |
| Mutual Of Omaha | $22 - $98 | 120% |
| Ncas | $22 - $98 | 120% |
| Nippon Life Ins | $22 - $98 | 120% |
| Nova | $22 - $98 | 120% |
| Painters Union Insurance Fund | $22 - $98 | 120% |
| Physicians Mutual | $22 - $98 | 120% |
| Plumbers Local 98 Insurance Fund | $22 - $98 | 120% |
| Prairie States | $22 - $98 | 120% |
| Primary Physician Care | $22 - $98 | 120% |
| Priority Health | $22 - $98 | 120% |
| Professional Benefit Administrators | $22 - $98 | 120% |
| Secureone Preferred United Plans | $22 - $98 | 120% |
| The Loomis Company | $22 - $98 | 120% |
| Trustmark Small Business Benefits | $22 - $98 | 120% |
| U Of M Health Plan | $22 - $98 | 120% |
| Unicare | $22 - $98 | 120% |
| Unified Group Services | $22 - $98 | 120% |
| Us Health And Life | $22 - $98 | 120% |
| Valenz | $22 - $98 | 120% |
| Varipro | $22 - $98 | 120% |
| Western & Southern Financial Group | $22 - $98 | 120% |
| Wps | $22 - $98 | 120% |
| First Health | $23 - $99 | 125% |
| Vitalcore | $28 | 152% |
| Wellpath | $28 | 152% |