CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Community Hospital, LLC

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $43
Cash Discount Price: $55
vs. Medicare Baseline: 2.34x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Community Hospital, LLC is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 2.34x the Medicare baseline. Located in 3100 Southwest 89Th Street, Oklahoma City, OK.

Cash / Self-Pay

$55

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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: $55 (299%)

Insurance Median: $43 (234%)

Cash: $55 (299% of Medicare)

Ins. Median: $43 (234% 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 234% of the Medicare baseline (a markup of 134%). 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
UnitedHealthcare	$17	92%
Blue Cross Blue Shield	$22	120%
Healthchoice	$23	125%
Cigna	$24 - $49	131%
Aetna	$34 - $43	185%
First Health	$39 - $41	212%
Medica	$55 - $58	299%
Global Health	$65 - $69	353%
Community Care	$76 - $80	413%
Healthcare Highways	$76 - $80	413%
Humana	$91 - $96	495%
Phcs	$106 - $112	576%
Preferred Community Choice	$106 - $112	576%

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 $55.
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 Community Hospital, LLC 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.