CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: HCA Houston Healthcare Conroe

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $22
  • Cash Discount Price: $1,461
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at HCA Houston Healthcare Conroe is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,461. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.20x the Medicare baseline. Located in 504 Medical Center Blvd, Conroe, TX.
Cash / Self-Pay
$1,461

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $1,461 (7945%)
Insurance Median: $22 (120%)
Cash: $1,461 (7945% of Medicare)
Ins. Median: $22 (120% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Amerigroup $15 - $18 82%
Community Health Choice Mcd $15 82%
Liberty County Indigent $15 82%
Texas Childrens Health Plans $15 - $298 82%
Texas Health Network $15 82%
United $16 - $657 87%
Aetna $17 - $121 92%
Molina Healthcare $17 - $40 92%
Blue Cross Blue Shield $18 - $511 98%
Cigna $18 - $97 98%
Devoted Health $18 98%
Geo Group - Joe Corley Detention Facility $18 98%
Humana $18 - $246 98%
Kelsey Seybold $18 98%
Oscar $18 - $53 98%
Triwest Healthcare Alliance $18 98%
Wellmed $18 98%
American Health Plan $19 103%
Integranet Amerigroup Ipa $19 103%
Procare Advantage $19 103%
Provider Partners Health Plan Of Texas $19 103%
Shared Health $19 103%
Superior Health Plan $19 - $88 103%
Van Lang Ipa $19 103%
Wellcare $19 103%
Christus (Usfhp) $20 109%
Molina $20 109%
Universal Healthcare Group $22 120%
Verda Health Plan $24 131%
Community Health Choice $27 147%
Superior $27 - $28 147%
Corvel Corporation $36 196%
Omni Healthcare $39 212%
Healthcare Highways $55 299%
Tx Workforce Commission $351 1909%
Evry Health $399 2170%
Imagine Health $511 2779%
Healthsmart Preferred Care $628 - $1,242 3415%
Averde Health $657 3573%
Fidelis Securecare Of Tx $657 3573%
Coventry National First Health $779 4236%
Physicians Cooperative Of Texas $803 4367%
Rockport Workers Comp $803 4367%
Independent Medical System $876 4763%
National Healthcare Solutions $876 4763%
Southwest Medical $876 4763%
Coastal Comp $949 5160%
Multiplan $1,096 - $1,242 5960%
Physicians, Inc $1,242 6754%
Affiliated Ppo $1,315 7151%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 504 Medical Center Blvd, Conroe, TX 77304
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals