CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Barnes-Jewish West County Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $70
Cash Discount Price: $77
vs. Medicare Baseline: 3.81x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Barnes-Jewish West County Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 3.81x the Medicare baseline. Located in 12634 Olive Boulevard, Creve Coeur, MO.

Cash / Self-Pay

$77

Average discount available for prompt cash payment at this facility.

Insurance Median

$70

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: $77 (419%)

Insurance Median: $70 (381%)

Cash: $77 (419% of Medicare)

Ins. Median: $70 (381% 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 381% of the Medicare baseline (a markup of 281%). 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
Aetna	$18 - $96	98%
Blue Cross Blue Shield	$19 - $111	103%
Cox Health [757]	$19	103%
Devoted Health Plan [847]	$19	103%
Essence Healthcare [221]	$19	103%
Humana	$19 - $51	103%
Medica [662]	$19	103%
UnitedHealthcare	$19 - $95	103%
Healthscope Benefits [258]	$22	120%
Cigna	$25 - $39	136%
Allied Benefits [498]	$32 - $95	174%
Consociate [478]	$32	174%
Coresource [497]	$32	174%
Fmh Benefit Service Inc [222]	$32	174%
Mail Handlers [495]	$32	174%
Sarah Bush Lincoln [636]	$32	174%
Apwu Health Plan [216]	$39	212%
Nalc Health Benefit Plan [242]	$39	212%
Priority Health [648]	$39	212%
Healthlink [225]	$62 - $97	337%
Cox Health Systems Insurance Company [220]	$70 - $83	381%
Health Alliance [224]	$70	381%
Hope Trust [806]	$74	402%
Med-Pay [480]	$83 - $96	451%
Unicare [568]	$83 - $97	451%
First Health Commercial [734]	$95	517%
Beechstreet [551]	$96	522%
Detego Health [868]	$96	522%
Health Systems Inc [620]	$96	522%
Healthcare Sol Mercy [609]	$96	522%
Multiplan Commercial [737]	$96	522%
Multiplan [240]	$96	522%
Phcs [244]	$96 - $102	522%
Preferred Health Professionals [561]	$97	527%
Hfn [563]	$102	555%
Medica [661]	$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 $77.
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 West County 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.