CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Oklahoma Heart Hospital South, LLC

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $51
Cash Discount Price: $162
vs. Medicare Baseline: 2.77x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Oklahoma Heart Hospital South, LLC is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $162. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 2.77x the Medicare baseline. Located in 5200 East I-240 Service Road, Oklahoma City, OK.

Cash / Self-Pay

$162

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

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: $162 (881%)

Insurance Median: $51 (277%)

Cash: $162 (881% of Medicare)

Ins. Median: $51 (277% 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 277% of the Medicare baseline (a markup of 177%). 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
Aetna	$16 - $101	87%
Humana	$16 - $101	87%
Blue Cross Blue Shield	$18 - $84	98%
Cigna	$18 - $102	98%
Geha	$18 - $89	98%
Medicare (plans)	$18 - $86	98%
UnitedHealthcare	$18 - $89	98%
Va Ccn	$18 - $84	98%
Ambetter / Centene	$26 - $117	141%
Healthcare Highways	$36 - $88	196%
Community Care	$37 - $167	201%
The Kempton Group	$46 - $209	250%
Healthscope	$67	364%
Oscar Insurance Company	$67	364%
Webtpa Chickasaw Nation Hch	$69	375%
Webtpa Hobby Lobby Hch	$77	419%
Coventry	$86	468%
Global Health	$92	500%
Sana Benefits	$95	517%
Ufcw	$95	517%
First Health Network	$101	549%
Manhattan Life	$101	549%
Phcs	$102	555%
Preferred Community Choice	$111	604%
Multiplan	$131	712%

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 $162.
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 Oklahoma Heart Hospital South, 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.