CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Okeene Municipal Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $47
Cash Discount Price: $56
vs. Medicare Baseline: 2.56x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Okeene Municipal Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 2.56x the Medicare baseline. Located in 207 East F Street, Okeene, OK.

Cash / Self-Pay

$56

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

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: $56 (305%)

Insurance Median: $47 (256%)

Cash: $56 (305% of Medicare)

Ins. Median: $47 (256% 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 256% of the Medicare baseline (a markup of 156%). 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
Pref Community Choice Ppo-All Plans	$10 - $11	54%
Blue Cross Blue Shield	$22 - $42	120%
Coventry Mcr Adv	$37 - $42	201%
Global Health Mcr Adv	$37 - $42	201%
Humana	$37 - $74	201%
Medicare (plans)	$37 - $42	201%
UnitedHealthcare	$37 - $53	201%
Cigna	$40 - $45	218%
Ihs-All Plans	$42 - $48	228%
Ok Complete Health Comm-All Other Plans	$45 - $51	245%
Aetna	$46 - $74	250%
Healthchoice Ip Only-All Plans	$46 - $52	250%
Global Health-All Other Plans	$48 - $55	261%
Healthcare Highways-All Plans	$49 - $56	266%
Phcs Savility/Multiplan - All Plans	$49 - $56	266%
Medica Commercial-All Other Plans	$50 - $57	272%
Community Care Hmo-All Plans	$58 - $67	315%
Ok Complete Health Mcaid	$65 - $74	353%

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 $56.
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 Okeene Municipal 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.