CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: S E Lackey Memorial Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $77
Cash Discount Price: $81
vs. Medicare Baseline: 4.19x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at S E Lackey Memorial Hospital is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 4.19x the Medicare baseline. Located in 330 N Broad Street, Forest, MS.

Cash / Self-Pay

$81

Average discount available for prompt cash payment at this facility.

Insurance Median

$77

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: $81 (440%)

Insurance Median: $77 (419%)

Cash: $81 (440% of Medicare)

Ins. Median: $77 (419% 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 419% of the Medicare baseline (a markup of 319%). 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
Magnolia Mcr Adv	$7 - $103	38%
UnitedHealthcare	$7 - $184	38%
Magnolia Mcaid	$17	92%
Va Ccn - All Plans	$18 - $103	98%
Wellcare Mcr Adv - All Plans	$18 - $103	98%
Corvel - All Plans	$34 - $221	185%
Magnolia Comm/Exch - All Other Plans	$43 - $103	234%
Cigna	$50 - $160	272%
Blue Cross Blue Shield	$77 - $209	419%
First/Health Choice - All Plans	$82 - $197	446%
Health Partners - All Plans	$85 - $204	462%
Multiplan - All Plans	$93 - $221	506%

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 $81.
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 S E Lackey Memorial 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.