CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Belton Regional Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $35
  • Cash Discount Price: $589
  • vs. Medicare Baseline: 1.90x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Belton Regional Medical Center is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $589. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.90x the Medicare baseline. Located in 17065 S 71 Highway, Belton, MO.
Cash / Self-Pay
$589

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

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: $589 (3203%)
Insurance Median: $35 (190%)
Cash: $589 (3203% of Medicare)
Ins. Median: $35 (190% 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
Cigna $9 - $19 49%
Blue Cross Blue Shield $16 - $242 87%
Aetna $17 - $300 92%
Coventry $18 - $237 98%
Devoted Health $18 98%
Humana $18 - $45 98%
United $18 - $265 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 - $436 179%
Corvel Corporation $39 - $383 212%
Oha Network $40 - $295 218%
Ambetter / Centene $110 598%
Nhc Advantage $112 609%
Wppa Providrs Care Network $118 642%
Universal Healthcare $206 1120%
Coventry Kc Mo $242 1316%
College Park Family Care Center $253 1376%
Cco, Inc. $501 2724%
Focus Healthcare Mgmt, Inc $530 2882%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 17065 S 71 Highway, Belton, MO 64012
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals