CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Ochsner Scott Regional

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $50
Cash Discount Price: $138
vs. Medicare Baseline: 2.72x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Ochsner Scott Regional is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 2.72x the Medicare baseline. Located in 317 Highway 13 South, Morton, MS.

Cash / Self-Pay

$138

Average discount available for prompt cash payment at this facility.

Insurance Median

$50

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: $138 (750%)

Insurance Median: $50 (272%)

Cash: $138 (750% of Medicare)

Ins. Median: $50 (272% 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 272% of the Medicare baseline (a markup of 172%). 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
UnitedHealthcare	$8 - $110	44%
Humana	$14 - $110	76%
Medicaid / KanCare	$17 - $18	92%
Cigna	$18 - $122	98%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$18 - $111	98%
Medicare (plans)	$18 - $126	98%
Primewell Health Services Commercial Exchange Plan	$18 - $131	98%
Primewell Health Services – Commercial	$18 - $131	98%
Shared Health Mississippi	$19 - $115	103%
Prime Health Services Ppo	$21 - $175	114%
Blue Cross Blue Shield	$23	125%
Ambetter / Centene	$26 - $111	141%
Cor Vel	$32 - $33	174%
Prime Health Services Ppo -Workers Comp	$32	174%
Aetna	$34 - $142	185%
Zelis	$36 - $164	196%
Claritev D/B/A Multiplan/Phcs/American Life Care	$50 - $164	272%
Select Administrative Services Network	$70 - $153	381%

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 $138.
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 Ochsner Scott Regional 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.