CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Poplar Bluff Regional Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $27
  • Cash Discount Price: $53
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Poplar Bluff Regional Medical Center is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.47x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$53

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $53 (288%)
Insurance Median: $27 (147%)
Cash: $53 (288% of Medicare)
Ins. Median: $27 (147% 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.

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 $4 - $227 22%
Self Pay $4 - $272 22%
Blue Cross Blue Shield $5 - $294 27%
Access Health Services, Llc $10 - $647 54%
Cigna $10 - $908 54%
Evolutions Healthcare $10 - $619 54%
Tyson Foods $10 - $624 54%
UnitedHealthcare $10 - $611 54%
Healthlink $11 - $709 60%
Parker Hannifin $11 - $794 60%
First Health $12 - $738 65%
Blue Traditional $14 - $876 76%
Coventry Wc $15 - $908 82%
Municipal Health $15 - $908 82%
Multiplan $16 - $987 87%
Node Champva $16 87%
Phcs $16 - $987 87%
Tricare $16 87%
Compresults Wc $17 - $1,022 92%
Blue Access $18 98%
Centurion Correctional $18 - $23 98%
Humana $18 98%
Medicare (plans) $18 98%
Node Hospice Non Par Agree $18 98%
Node United Behavioral Health Mcr Adv $18 98%
Node Va $18 98%
Veterans Eval Services $18 98%
Node Ahs Mcr Adv $19 103%
Node Devoted Health Mcr Adv $19 103%
Node Pphp Mcr Adv $21 114%
Us Department Of Labor $23 125%
Naphcare $35 190%
Home State Exchange $46 250%
W W Wood $46 250%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals