CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: Mount Carmel Dublin
Billing Code: 84153 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84153
- Insurance Median: $55
- Cash Discount Price: $77
- vs. Medicare Baseline: 2.99x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Mount Carmel Dublin is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 2.99x the Medicare baseline. Located in 4105 Emerald Pkwy, Dublin, OH.
Cash / Self-Pay
$77
Average discount available for prompt cash payment at this facility.
Insurance Median
$55
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: $77 (419%)
Insurance Median: $55 (299%)
Cash: $77 (419% of Medicare)
Ins. Median: $55 (299% 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 299% of the Medicare baseline (a markup of 199%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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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 |
|---|---|---|
| Medicare (plans) | $16 - $19 | 87% |
| Aetna | $17 - $53 | 92% |
| Rural Carrier Health Benefit Plan | $17 | 92% |
| Blue Cross Blue Shield | $18 - $118 | 98% |
| Oscar | $18 | 98% |
| UnitedHealthcare | $18 - $69 | 98% |
| The Health Plan | $19 | 103% |
| Medical Mutual | $33 - $48 | 179% |
| Enterprise Group Planning | $35 | 190% |
| Custom Design Benefits | $38 | 207% |
| Quality Care Partners | $42 | 228% |
| Western & Southern Financial Group | $48 | 261% |
| Geha | $53 - $69 | 288% |
| Gravie Admin Services | $53 | 288% |
| Healthez | $53 | 288% |
| Meritain | $53 | 288% |
| Webtpa | $53 | 288% |
| Access Health | $55 | 299% |
| Acclaim | $55 | 299% |
| Administrative Concepts | $55 | 299% |
| Allegeant | $55 | 299% |
| Allied Benefit Systems | $55 | 299% |
| American Family | $55 | 299% |
| American Healthcare Alliance | $55 | 299% |
| American National | $55 | 299% |
| American Republic | $55 | 299% |
| Amerihealth | $55 | 299% |
| Aultcare | $55 | 299% |
| Automated Benefit Services | $55 | 299% |
| Auxiant | $55 | 299% |
| Benefit Administrative Systems,Llc | $55 | 299% |
| Boon Chapman | $55 | 299% |
| Cam Administrative Services | $55 | 299% |
| Christian Brother Services | $55 | 299% |
| Christian Brothers Holy Cross | $55 | 299% |
| Claimchoice Adminstrators | $55 | 299% |
| Comprehensive Benefits | $55 | 299% |
| Continental Life Insurance | $55 | 299% |
| Coventry | $55 | 299% |
| Custom Benefit Administrators | $55 | 299% |
| Cypress Benefit Administrators | $55 | 299% |
| Employee Benefit Concepts | $55 | 299% |
| Employee Benefit Management | $55 | 299% |
| Forest County Potawatomi | $55 | 299% |
| Freedom Life Insurance Company | $55 | 299% |
| Group Administrators | $55 | 299% |
| Group Marketing Services | $55 | 299% |
| Group Pension Administrators | $55 | 299% |
| Guardian | $55 | 299% |
| Health America | $55 | 299% |
| Health Choices | $55 | 299% |
| Healthcare Management Admin | $55 | 299% |
| Insight | $55 | 299% |
| Intercare | $55 | 299% |
| Jfp Benefit Management | $55 | 299% |
| Jp Farley Corporation | $55 | 299% |
| Key Benefit Administrator | $55 | 299% |
| Liberty Union Life Assurance Co | $55 | 299% |
| Lucent Health | $55 | 299% |
| Luminare Health | $55 | 299% |
| Magnacare | $55 | 299% |
| Medcost | $55 | 299% |
| Mutual Health Services | $55 | 299% |
| Mutual Of Omaha | $55 | 299% |
| Ncas | $55 | 299% |
| Nippon Life Ins | $55 | 299% |
| Nova | $55 | 299% |
| Painters Union Insurance Fund | $55 | 299% |
| Physicians Mutual | $55 | 299% |
| Plumbers Local 98 Insurance Fund | $55 | 299% |
| Prairie States | $55 | 299% |
| Preferred One | $55 | 299% |
| Primary Physician Care | $55 | 299% |
| Professional Benefit Administrators | $55 | 299% |
| Secureone Preferred United Plans | $55 | 299% |
| Siho Insurance Services | $55 | 299% |
| Sisco Benefits | $55 | 299% |
| The Loomis Company | $55 | 299% |
| Trustmark Small Business Benefits | $55 | 299% |
| U Of M Health Plan | $55 | 299% |
| Unicare | $55 | 299% |
| Unified Group Services | $55 | 299% |
| Us Health And Life | $55 | 299% |
| Valenz | $55 | 299% |
| Varipro | $55 | 299% |
| Wps | $55 | 299% |
| Humana | $60 - $118 | 326% |
| First Health | $62 | 337% |
| Paramount Hmo | $62 | 337% |
| Medben | $71 - $88 | 386% |
| Consociate | $72 | 392% |
| Health Ohio Network | $72 | 392% |
| American Postal Workers Secondary | $76 | 413% |
| Cigna | $76 | 413% |
| Health Partners | $76 | 413% |
| Healthgram | $76 | 413% |
| Mvp | $76 | 413% |
| Priority Health | $76 | 413% |
| Healthlink Inc | $88 | 479% |
| Medical Benefits Mutual | $88 | 479% |
| Ohio Health Choice | $88 | 479% |
| Ohio Ppo Connect | $88 | 479% |
| Ameriben | $94 | 511% |
| Luminare Health (Detroit) | $94 | 511% |
| Medi Share | $94 | 511% |
| Multiplan | $94 | 511% |
| Ohiohealthy | $94 | 511% |
| Osu Not Independent Choice | $94 | 511% |
| Phcs | $94 | 511% |
| Philadelphia American Life Insurance | $94 | 511% |
| Twin Valley Psychiatric | $94 | 511% |
| Health Smart | $100 | 544% |
| Medicaid / KanCare | $118 | 642% |