CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Geisinger-Community Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $93
Cash Discount Price: $205
vs. Medicare Baseline: 5.06x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Geisinger-Community Medical Center is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $205. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 5.06x the Medicare baseline. Located in 1822 Mulberry Street, Scranton, PA.

Cash / Self-Pay

$205

Average discount available for prompt cash payment at this facility.

Insurance Median

$93

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: $205 (1115%)

Insurance Median: $93 (506%)

Cash: $205 (1115% of Medicare)

Ins. Median: $93 (506% 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 506% of the Medicare baseline (a markup of 406%). 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
Geisinger Health Plan	$18 - $53	98%
Medicare (plans)	$18	98%
Prison Health Services	$18	98%
Aetna	$19 - $195	103%
Humana	$19	103%
Medicaid / KanCare	$24	131%
Geisinger Family Plan	$25	136%
Blue Cross Blue Shield	$26 - $115	141%
Amerihealth	$28	152%
Health Partners	$29	158%
Upmc For You	$29	158%
Upmc Chip	$30	163%
Ambetter / Centene	$61	332%
UnitedHealthcare	$140	761%
Cigna	$146	794%
Christian Healthcare Ministries	$165	897%
Healthnet	$193	1049%
Universal Managed Care	$205 - $214	1115%
Intergroup Services	$264 - $297	1436%
Multiplan	$280	1523%

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 $205.
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 Geisinger-Community 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.