CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Woodland Heights Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $34
  • Cash Discount Price: $209
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Woodland Heights Medical Center is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $209. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.85x the Medicare baseline. Located in 505 South John Redditt Drive, Lufkin, TX.
Cash / Self-Pay
$209

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

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: $209 (1136%)
Insurance Median: $34 (185%)
Cash: $209 (1136% of Medicare)
Ins. Median: $34 (185% 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
Blue Cross Blue Shield $18 - $136 98%
Humana $18 98%
Medicare (plans) $18 98%
Node Triwest $18 98%
Node Va $18 98%
UnitedHealthcare $18 - $412 98%
Veterans Eval Services $18 98%
American Health Mcr Adv $19 103%
Node Amerigroup Mcr Adv $19 103%
Node Procare Advantage $19 103%
Provider Partners Health Plan $19 103%
Superior $19 - $25 103%
Tricare $19 - $20 103%
Department Of Veterans Affairs $20 109%
Node Us Dept Of Labor $23 125%
Angelina County $28 152%
Corporate Remedies $28 152%
Partners Direct Health $28 152%
Node Brookshire Brothers $32 174%
Node Brookshire Brothers Work Comp Tx $34 185%
Usa Managed Care $34 185%
Work Comp $37 201%
Self Pay $46 - $93 250%
Cigna $52 283%
Texas Rehab Commission $232 1262%
Aetna $492 - $790 2675%
Multiplan $604 - $790 3284%
Unicare $650 3535%
Galaxy Health Network $790 4296%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 505 South John Redditt Drive, Lufkin, TX 75904
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals