CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Harper County Community Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $112
Cash Discount Price: $106
vs. Medicare Baseline: 6.09x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Harper County Community Hospital is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 6.09x the Medicare baseline. Located in 1003 Us Highway 64 North, Buffalo, OK.

Cash / Self-Pay

$106

Average discount available for prompt cash payment at this facility.

Insurance Median

$112

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: $106 (576%)

Insurance Median: $112 (609%)

Cash: $106 (576% of Medicare)

Ins. Median: $112 (609% 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 609% of the Medicare baseline (a markup of 509%). 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
Blue Cross Blue Shield	$43 - $71	234%
Cigna	$92 - $96	500%
UnitedHealthcare	$101 - $115	549%
Va Ccn Op/Profee Only-All Plans	$101 - $105	549%
Healthchoice Op/Profee Only-All Plans	$103 - $108	560%
Provider Network Of America Op/Profee Only-All Pla	$116 - $121	631%
Aetna	$129 - $135	701%
Humana	$129 - $135	701%
Ok Complete Health Mcaid Op/Profee Only	$129 - $135	701%
Ok Complete Health Comm Op/Profee Only-All Other P	$131 - $137	712%
Medicare (plans)	$136 - $142	740%

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 $106.
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 Harper County 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.