CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Parkland Health Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $157
Cash Discount Price: $139
vs. Medicare Baseline: 8.54x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Parkland Health Center is $157. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $139. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 8.54x the Medicare baseline. Located in 1101 W Liberty, Farmington, MO.

Cash / Self-Pay

$139

Average discount available for prompt cash payment at this facility.

Insurance Median

$157

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: $139 (756%)

Insurance Median: $157 (854%)

Cash: $139 (756% of Medicare)

Ins. Median: $157 (854% 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 854% of the Medicare baseline (a markup of 754%). 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
Healthscope Benefits [258]	$22 - $151	120%
UnitedHealthcare	$22 - $172	120%
Consociate [478]	$32	174%
Sarah Bush Lincoln [636]	$32	174%
Cigna	$36 - $186	196%
Mercy Behavioral Health [573]	$58	315%
Aetna	$106 - $174	576%
Healthlink [225]	$113 - $175	614%
Cox Health Systems Insurance Company [220]	$128 - $151	696%
Health Alliance [224]	$128	696%
Allied Benefits [498]	$135 - $172	734%
Hope Trust [806]	$135	734%
Blue Cross Blue Shield	$137 - $202	745%
Coresource [497]	$140	761%
Fmh Benefit Service Inc [222]	$140	761%
Mail Handlers [495]	$140	761%
Med-Pay [480]	$151 - $174	821%
Unicare [568]	$151 - $175	821%
Humana	$154	837%
Apwu Health Plan [216]	$159	865%
Nalc Health Benefit Plan [242]	$159	865%
Priority Health [648]	$159	865%
First Health Commercial [734]	$172	935%
Beechstreet [551]	$174	946%
Detego Health [868]	$174	946%
Health Systems Inc [620]	$174	946%
Healthcare Sol Mercy [609]	$174	946%
Multiplan Commercial [737]	$174	946%
Multiplan [240]	$174	946%
Phcs [244]	$174 - $186	946%
Preferred Health Professionals [561]	$175	952%
Hfn [563]	$186	1011%
Medica [661]	$186	1011%

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 $139.
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 Parkland Health Center 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.