CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Cheshire Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $44
Cash Discount Price: $38
vs. Medicare Baseline: 2.39x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Cheshire Medical Center is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 2.39x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$38

Average discount available for prompt cash payment at this facility.

Insurance Median

$44

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: $38 (207%)

Insurance Median: $44 (239%)

Cash: $38 (207% of Medicare)

Ins. Median: $44 (239% 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 239% of the Medicare baseline (a markup of 139%). 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
Amerihealth Caritas Nh	$7 - $27	38%
Wellsense Health Plan	$8 - $30	44%
Granite State Health Plan	$9 - $37	49%
Harvard Pilgrim Health Care Of Ne	$12 - $100	65%
UnitedHealthcare	$17 - $166	92%
Aetna	$18 - $150	98%
Ambetter / Centene	$18	98%
Blue Cross Blue Shield	$18 - $174	98%
Cigna	$18 - $108	98%
Martin'S Point Generations Advantage	$18	98%
Mvp	$18 - $108	98%
Wellcare Health Plans	$18	98%
Martin'S Point Health Care	$19	103%
Mass General Brigham Health Plan	$24 - $219	131%
Maine Community Health Options	$25 - $99	136%
Tufts Health Plan	$36 - $140	196%
First Health/Hcvm	$48 - $186	261%
Phcs	$50 - $197	272%

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 $38.
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 Cheshire Medical Center 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.