CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: Lexington Medical Center
Billing Code: 84153 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$36
about 2.0× the $18 Medicare rate · typically $20–$60
modeled estimate · not a bill or quote
Medicare pays $18 Fair price $36 Cash price $247 Hospital's list price $247
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $37 - $46 | 201% |
| Blue Cross Blue Shieldmajor | $18 - $313 | 98% |
| Aetnamajor | $20 | 109% |
| Cignamajor | $97 | 527% |
| Humanamajor | $19 | 103% |
| Ambetter (Centene) | $33 | 179% |
| Molina | $22 - $65 | 120% |
| + 2 smaller / regional plans | $19 - $286 |
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Other Procedures at Lexington Medical Center
Compare: Blood test, PSA (prostate screen) at other SC hospitals
- Conway Medical Center · Conway $18
- Prisma Health Oconee Memorial Hospital · Seneca $19
- Colleton Medical Center · Walterboro $19
- Prisma Health Hillcrest Hospital · Simpsonville $19
- Prisma Health Laurens County Hospital · Clinton $19
- Prisma Health Tuomey Hospital · Sumter $19
- Prisma Health Greenville Memorial Hospital · Greenville $19
- Trident Medical Center · Charleston $19
Insurance negotiated median for the same procedure, sorted lowest first.