CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Fostoria Community Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $94
Cash Discount Price: $118
vs. Medicare Baseline: 5.11x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Fostoria Community Hospital is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $118. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 5.11x the Medicare baseline. Located in 501 Van Buren Street, Fostoria, OH.

Cash / Self-Pay

$118

Average discount available for prompt cash payment at this facility.

Insurance Median

$94

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: $118 (642%)

Insurance Median: $94 (511%)

Cash: $118 (642% of Medicare)

Ins. Median: $94 (511% 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 511% of the Medicare baseline (a markup of 411%). 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
Meridian Health Plan Of Mi	$10	54%
Blue Cross Blue Shield	$18 - $117	98%
Health Alliance Plan	$18 - $136	98%
Health Value Management	$18 - $39	98%
Paramount Health Care	$18 - $96	98%
Buckeye Community Health Plan	$19 - $40	103%
Aetna	$21 - $121	114%
Buckeye Community Health Plan Inc	$21 - $66	114%
Dayton Area Health Plan Dba Caresource	$26 - $75	141%
UnitedHealthcare	$27 - $108	147%
Amerihealth	$28	152%
Veterans Affairs	$40	218%
Medical Mutual Of Ohio	$102 - $109	555%
Frontpath Health Coalition	$104	566%
Ohio Health Choice	$118	642%
Ohio Ppo Connect	$118 - $136	642%
Health Ohio Network	$143	778%
Connecticut General Life Insurance Company	$144	783%

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 $118.
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 Fostoria Community Hospital 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.