Blood test, PSA (prostate screen)
Facility: Merit Health River Oaks
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $10
- Cash Discount Price: $4
- vs. Medicare Baseline: 0.54x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Advanced Health Systems | $2 - $23 | 11% |
| Aetna | $2 - $500 | 11% |
| American Health Group | $2 - $620 | 11% |
| Beech Street | $2 - $620 | 11% |
| Benefit Administration Services | $2 - $620 | 11% |
| Benefit Management Systems | $2 - $620 | 11% |
| Blue Cross Blue Shield | $2 - $23 | 11% |
| Cigna | $2 - $145 | 11% |
| Citizens State Bank Inc | $2 - $620 | 11% |
| First Choice Stratose | $2 - $584 | 11% |
| Formost | $2 - $620 | 11% |
| Humana | $2 - $18 | 11% |
| Medicaid / KanCare | $2 - $18 | 11% |
| Medicare (plans) | $2 - $18 | 11% |
| Molina | $2 - $18 | 11% |
| Molina Exchange | $2 - $32 | 11% |
| Ms Dept Of Rehabilitation Services | $2 - $730 | 11% |
| Node Champva | $2 - $18 | 11% |
| Node Devoted Health Mcr Adv | $2 - $18 | 11% |
| Node First Choice American Health Mcr Adv | $2 - $18 | 11% |
| Node First Choice Seven Corners | $2 - $31 | 11% |
| Node First Choice Shared Health Of Ms Mcr Adv | $2 - $18 | 11% |
| Node First Choice Wellcare Mcr Adv | $2 - $19 | 11% |
| Node Hospice Non Par Agree | $2 - $18 | 11% |
| Node Va | $2 - $18 | 11% |
| Node Vantage Health Mcr Adv | $2 - $18 | 11% |
| One Health Plan | $2 - $657 | 11% |
| Prime Health Services | $2 - $584 | 11% |
| Self Pay | $2 - $161 | 11% |
| Tricare | $2 - $17 | 11% |
| UnitedHealthcare | $2 - $195 | 11% |
| Usa Mco | $2 - $620 | 11% |
| Veterans Eval Services | $2 - $18 | 11% |
| Node Healthy Mississippi Mcr Adv | $3 - $20 | 16% |
| Node Us Dept Of Labor | $3 - $23 | 16% |
| Trimed Billing Solutions | $3 - $219 | 16% |
| First Choice Preferred | $4 - $28 | 22% |
| Magnolia Exchange | $4 - $32 | 22% |
| Ms State Hospital Of Whitfield Ms | $4 - $277 | 22% |
| Node First Choice Occunet | $4 - $28 | 22% |
| First Choice Coventry | $5 - $380 | 27% |
| First Choice Lgp | $5 - $40 | 27% |
| First Choice Standard | $5 - $336 | 27% |
| Vantage Health Commercial | $5 - $41 | 27% |
| First Choice Mpcn Standard | $6 - $402 | 33% |
| First Choice Ppo Plus | $6 - $402 | 33% |
| Phcs | $6 - $438 | 33% |
| Caresource Truecare | $17 | 92% |
| Magnolia Mcd Chip | $17 | 92% |
| Molina Chip | $18 | 98% |
| Ms Work Comp | $34 | 185% |
| Prime Health Wc | $34 | 185% |