CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: Mercy Hospital Oklahoma City, Inc
Billing Code: 84153 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84153
- Insurance Median: $61
- Cash Discount Price: $82
- vs. Medicare Baseline: 3.32x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Mercy Hospital Oklahoma City, Inc is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 3.32x the Medicare baseline. Located in 4300 West Memorial Road, Oklahoma City, OK.
Cash / Self-Pay
$82
Average discount available for prompt cash payment at this facility.
Insurance Median
$61
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: $82 (446%)
Insurance Median: $61 (332%)
Cash: $82 (446% of Medicare)
Ins. Median: $61 (332% 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 332% of the Medicare baseline (a markup of 232%). 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 |
|---|---|---|
| Aetna | $15 - $109 | 82% |
| Humana | $16 - $104 | 87% |
| Medicaid / KanCare | $16 - $26 | 87% |
| Tricare | $17 - $18 | 92% |
| Blue Cross Blue Shield | $18 | 98% |
| Champva [20065] | $18 | 98% |
| Cherokee Nation Health Serv Contracted [320066] | $18 | 98% |
| Cross Timbers Hospice [20098] | $18 | 98% |
| Dept Of Veteran Affairs Contracted [320106] | $18 | 98% |
| Elara Caring Aspire Hospice Contracted [320433] | $18 | 98% |
| Elara Caring Aspire Hospice [20433] | $18 | 98% |
| Globalhealth Contracted [320145] | $18 | 98% |
| Halo Hcr Inc Hospice Contracted [320432] | $18 | 98% |
| Halo Hcr Inc Hospice [20432] | $18 | 98% |
| Indian Health Service Contracted [320198] | $18 | 98% |
| Kindful Hospice Contracted [320434] | $18 | 98% |
| Kindful Hospice [20434] | $18 | 98% |
| Longevity Health Plan [10477] | $18 | 98% |
| Medicare (plans) | $18 - $19 | 98% |
| Mercy Hospice Okc [20252] | $18 | 98% |
| Mercy Rehab Hospital Contracted [320260] | $18 | 98% |
| Provider Partners Health Plans Contracted [320450] | $18 | 98% |
| Qual Choice Contracted [320325] | $18 | 98% |
| United Medical Resources Contracted [320454] | $18 - $98 | 98% |
| UnitedHealthcare | $18 | 98% |
| Amg Spec Hosp Edmond [20034] | $19 | 103% |
| Cigna | $19 - $30 | 103% |
| Medica Contracted [320239] | $21 | 114% |
| Health Choice Contracted [320166] | $23 | 125% |
| Ambetter / Centene | $25 | 136% |
| Home State Health Plan Contracted [320187] | $25 | 136% |
| Novasys Contracted [320285] | $25 | 136% |
| Community Care Contracted [320080] | $28 - $106 | 152% |
| Workers Comp [20426] | $32 | 174% |
| Healthcare Highways Plus Contracted [320175] | $39 - $91 | 212% |
| Healthsmart Preferred Care Contracted [320184] | $41 - $98 | 223% |
| Kempton Contracted [320214] | $41 | 223% |
| Webtpa Contracted [320417] | $42 - $63 | 228% |
| Osma Health Contracted [320292] | $45 - $68 | 245% |
| Aither Health Contracted [320449] | $61 - $91 | 332% |
| Auxiant Contracted [320462] | $61 - $98 | 332% |
| Benefit Management Contracted [320052] | $61 - $98 | 332% |
| Ebms Contracted [320493] | $61 - $91 | 332% |
| Healthlink Contracted [320179] | $61 - $98 | 332% |
| Imagine 360 Contracted [320494] | $61 - $91 | 332% |
| Mercy Benefit Admin Contracted [320251] | $61 - $98 | 332% |
| Quik Trip Contracted [320447] | $61 - $91 | 332% |
| Reflect Health Contracted [320492] | $61 - $91 | 332% |
| Show-Me Health Administrators Contracted [320483] | $61 - $91 | 332% |
| Yuzu Health Contracted [320521] | $61 - $91 | 332% |
| First Health Contracted [320128] | $62 - $93 | 337% |
| Federal Medical Center Contracted [320127] | $66 - $98 | 359% |
| Healthscope Contracted [320182] | $66 - $98 | 359% |
| Healthsmart Accel Contracted [320183] | $66 - $98 | 359% |
| Point C Contracted [320238] | $66 - $98 | 359% |
| Preferred Health Plan Contracted [320522] | $66 - $98 | 359% |
| Private Health Care Systems Contracted [320320] | $66 - $106 | 359% |
| Tri State Healthcare Coalition Contracted [320379] | $66 - $98 | 359% |
| Multiplan Contracted [320270] | $71 - $136 | 386% |
| Globalhealth Contracted [320144] | $72 - $107 | 392% |
| Preferred Community Choice Contracted [320311] | $77 - $115 | 419% |
| Centralink Contracted [320480] | $101 - $151 | 549% |