CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Lee's Summit Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $37
Cash Discount Price: $556
vs. Medicare Baseline: 2.01x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Lee's Summit Medical Center is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $556. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 2.01x the Medicare baseline. Located in 2100 Se Blue Parkway, Lees Summit, MO.

Cash / Self-Pay

$556

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $556 (3023%)

Insurance Median: $37 (201%)

Cash: $556 (3023% of Medicare)

Ins. Median: $37 (201% 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 201% of the Medicare baseline (a markup of 101%). 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
Cigna	$9 - $445	49%
Aetna	$17 - $284	92%
Blue Cross Blue Shield	$18 - $239	98%
Coventry	$18 - $224	98%
Devoted Health	$18	98%
Humana	$18 - $45	98%
United	$18 - $250	98%
Amerigroup	$19	103%
Celtic	$19	103%
Healthyblue	$19	103%
Home State Health Plan	$19	103%
Medicaid / KanCare	$19	103%
Unicare	$19	103%
Wellcare	$19	103%
Pyramid Life	$20	109%
Oscar	$28	152%
Multiplan	$33 - $412	179%
Corvel Corporation	$39 - $362	212%
Oha Network	$40 - $278	218%
Ambetter / Centene	$104	566%
Nhc Advantage	$106	576%
Wppa Providrs Care Network	$111	604%
Universal Healthcare	$195	1060%
Coventry Kc Mo	$228	1240%
College Park Family Care Center	$239	1300%
Focus Healthcare Mgmt, Inc	$417	2268%
Cco, Inc.	$473	2572%

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 $556.
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 Lee's Summit Medical 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.