CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Mary Lanning Healthcare

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $31
Cash Discount Price: $92
vs. Medicare Baseline: 1.69x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Mary Lanning Healthcare is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.69x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.

Cash / Self-Pay

$92

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $92 (500%)

Insurance Median: $31 (169%)

Cash: $92 (500% of Medicare)

Ins. Median: $31 (169% 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.

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
Blue Cross Blue Shield	$10 - $151	54%
Nhn/Mna-All Plans	$10 - $122	54%
Aetna	$12 - $133	65%
UnitedHealthcare	$16 - $28	87%
Tricare	$17	92%
Medica Mcr Adv	$18	98%
Ne Total Care Mcr Adv	$18	98%
Va Ccn - All Plans	$18	98%
Consociate Inc-All Plans	$28 - $127	152%
Ambetter / Centene	$30 - $83	163%
Medica-All Other Plans	$32 - $131	174%
Workers Compensation-All Plans	$40 - $148	218%
Multiplan-All Plans	$49 - $143	266%
Provider Network Of America-All Plans	$49 - $136	266%
Midlands Choice-All Plans	$136	740%

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 $92.
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 Mary Lanning Healthcare 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.