CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: Mercy Medical Center
Billing Code: 84153 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84153
- Insurance Median: $19
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Mercy Medical Center is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.03x the Medicare baseline. Located in 1000 North Village Avenue, Rockville Centre, NY.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$19
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%)
Insurance Median: $19 (103%)
Ins. Median: $19 (103% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $18 - $26 | 98% |
| Affinity Health Plan | $18 - $41 | 98% |
| Beacon Health Options | $18 - $26 | 98% |
| Beacon Health Strategies | $18 - $26 | 98% |
| Blue Cross Blue Shield | $18 - $68 | 98% |
| Centerlight Healthcare | $18 | 98% |
| Centers Plan For Healthy Living | $18 | 98% |
| Elderplan Inc. | $18 | 98% |
| Emblem Health | $18 - $41 | 98% |
| Fidelis Care New York | $18 - $41 | 98% |
| Health First | $18 - $41 | 98% |
| Health Plus | $18 - $41 | 98% |
| Healthspring | $18 | 98% |
| Independent Health | $18 | 98% |
| Liberty Health | $18 | 98% |
| Longevity Health Plan | $18 | 98% |
| Medicaid / KanCare | $18 | 98% |
| Medicare (plans) | $18 - $19 | 98% |
| Mvp Health Plans | $18 - $47 | 98% |
| Orthonet - Uniformed Services Family Health Plan | $18 | 98% |
| Pmc | $18 | 98% |
| Senior Whole Health | $18 | 98% |
| Surest | $18 | 98% |
| Tricare | $18 | 98% |
| UnitedHealthcare | $18 - $68 | 98% |
| Universal Healthcare | $18 | 98% |
| Us Family Health Plan | $18 | 98% |
| Veterans Affairs | $18 | 98% |
| Agewell New York | $19 | 103% |
| Humana | $19 | 103% |
| Partners Health Plan | $19 | 103% |
| Wellcare Health Plan Inc | $20 | 109% |
| Zadroga | $24 | 131% |
| Mail Handlers Benefit Plan | $26 | 141% |
| Meritain Health | $26 | 141% |
| Nippon Life Insurance Company Of America | $26 | 141% |
| Salvation Army | $26 | 141% |
| Centivo | $28 - $47 | 152% |
| American Plan Administrators | $41 | 223% |
| Amerihealth Administrators | $41 | 223% |
| Benefit Services | $41 | 223% |
| Ghi Cbp Ny City Employee Alternate | $41 | 223% |
| International Benefit Administrator | $41 | 223% |
| Ultra Benefits Inc. | $41 | 223% |
| Apwu | $47 | 256% |
| Brighton | $47 - $236 | 256% |
| Cigna | $47 - $219 | 256% |
| Daniel H Cook | $47 | 256% |
| Nalc | $47 | 256% |
| Samba | $47 | 256% |
| Self Pay | $68 | 370% |
| Local 1199 | $104 | 566% |
| Oscar Health | $138 | 750% |
| Allied Wellfare Fund | $219 | 1191% |
| American Group Administrators | $219 | 1191% |
| Bakery & Confectionery Union | $219 | 1191% |
| Comprehensive Benefits Consultant | $219 | 1191% |
| Guardian Life Insurance Company Of America | $219 | 1191% |
| Maloney And Assoc | $219 | 1191% |
| Multiplan | $219 | 1191% |
| Performax | $219 | 1191% |
| Phcs | $219 | 1191% |
| Pomco | $219 | 1191% |
| Tpa Inc | $219 | 1191% |
| Unicare | $219 | 1191% |
| United Employees Health Plan | $219 | 1191% |
| Coventry | $249 - $270 | 1354% |
| Magellan | $270 | 1468% |
| Galaxy | $303 | 1648% |
| Three Rivers Provider Network | $303 | 1648% |
| Aither Health | $337 | 1833% |
| Alpha Care | $337 | 1833% |
| Dentaquest | $337 | 1833% |