CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Barnes Jewish Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $76
Cash Discount Price: $72
vs. Medicare Baseline: 4.13x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Barnes Jewish Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 4.13x the Medicare baseline. Located in One Barnes-Jewish Hospital Plaza, Saint Louis, MO.

Cash / Self-Pay

$72

Average discount available for prompt cash payment at this facility.

Insurance Median

$76

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: $72 (392%)

Insurance Median: $76 (413%)

Cash: $72 (392% of Medicare)

Ins. Median: $76 (413% 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 413% of the Medicare baseline (a markup of 313%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$19 - $89	103%
Healthscope Benefits [258]	$22 - $78	120%
Cigna	$26 - $96	141%
Mercy Behavioral Health [573]	$30	163%
Consociate [478]	$35	190%
Sarah Bush Lincoln [636]	$35	190%
Aetna	$36 - $90	196%
Allied Benefits [498]	$36 - $89	196%
Coresource [497]	$36	196%
Fmh Benefit Service Inc [222]	$36	196%
Mail Handlers [495]	$36	196%
Apwu Health Plan [216]	$44	239%
Nalc Health Benefit Plan [242]	$44	239%
Priority Health [648]	$44	239%
Blue Cross Blue Shield	$58 - $104	315%
Healthlink [225]	$58 - $91	315%
Humana	$61	332%
Cox Health Systems Insurance Company [220]	$66 - $78	359%
Health Alliance [224]	$66	359%
Hope Trust [806]	$70	381%
Med-Pay [480]	$78 - $90	424%
Unicare [568]	$78 - $91	424%
First Health Commercial [734]	$89	484%
Beechstreet [551]	$90	489%
Detego Health [868]	$90	489%
Health Systems Inc [620]	$90	489%
Healthcare Sol Mercy [609]	$90	489%
Multiplan Commercial [737]	$90	489%
Multiplan [240]	$90	489%
Phcs [244]	$90 - $96	489%
Preferred Health Professionals [561]	$91	495%
Medica [661]	$96	522%
Hfn [563]	$102	555%

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 $72.
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 Barnes Jewish Hospital 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.