CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Mid-Columbia Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $72
Cash Discount Price: $66
vs. Medicare Baseline: 3.92x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Mid-Columbia Medical Center is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 3.92x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.

Cash / Self-Pay

$66

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

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: $66 (359%)

Insurance Median: $72 (392%)

Cash: $66 (359% of Medicare)

Ins. Median: $72 (392% 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 392% of the Medicare baseline (a markup of 292%). 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	$18 - $439	98%
Community Hp Mcr Adv - All Plans	$18	98%
Moda Mcr Adv	$18	98%
Molina Mcr Adv	$18	98%
Tricare	$18	98%
Va Ccn Triwest - All Plans	$18	98%
Healthnet Mcr Adv	$19	103%
Humana	$19	103%
Molina - All Other Plans	$20	109%
Pacific Source - All Plans	$25	136%
Employee Health Plan - All Plans	$33	179%
Norocor - All Plans	$69	375%
Amerigroup Mcaid - All Plans	$72	392%
Coordinated Care Mcaid - All Plans	$72	392%
Molina Mcaid	$72	392%
UnitedHealthcare	$72 - $131	392%
Moda Health Plan - All Other Plans	$91	495%
Healthscape - All Plans	$110	598%
First Health - All Plans	$123	669%
Coventry - All Plans	$124	674%
Aetna	$127	691%
Cigna	$130	707%
First Choice - All Plans	$131	712%
Multiplan/Phcs - All Plans	$131	712%
Providence Ppo - All Plans	$131	712%
Trpn - Three Rivers - All Plans	$131	712%
Ahp - Americas Hlth Plan - All Plans	$134	729%
Devoted Mcr Adv - All Plans	$149	810%

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 $66.
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 Mid-Columbia Medical Center 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.