CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Medical City Dallas Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $30
  • Cash Discount Price: $557
  • vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Medical City Dallas Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $557. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.63x the Medicare baseline. Located in 7777 Forest Lane, Dallas, TX.
Cash / Self-Pay
$557

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $557 (3029%)
Insurance Median: $30 (163%)
Cash: $557 (3029% of Medicare)
Ins. Median: $30 (163% 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
Cook Childrens Health Plan $11 60%
Amerigroup $15 - $18 82%
Parkland Community Health Plan $15 82%
Texas Health Network $15 82%
United $15 - $120 82%
Cigna $16 - $306 87%
Aetna $17 - $328 92%
Molina $17 - $20 92%
Blue Cross Blue Shield $18 - $247 98%
Devoted Health $18 98%
Humana $18 - $204 98%
Mutual Of Omaha $18 98%
Triwest Veterans $18 98%
Wellmed $18 98%
American Health Plan Of Texas, Inc. $19 103%
Care N Care $19 103%
Integranet $19 103%
Procare Advantge $19 103%
Provider Partners Health Plan $19 103%
Superior Health Plan $19 - $39 103%
Texas Independent Health Plan $19 103%
Wellcare $19 103%
Imperial Insurance Company $20 109%
Triwest Health Alliance $20 109%
Universal Healthcare Group $22 120%
Verda Health Plan $24 131%
Bravo Health $28 152%
Superior $33 - $41 179%
Usa Managed Care $35 - $445 190%
Corvel Corporation $36 196%
Molina Healthcare $48 261%
Oscar $48 261%
UnitedHealthcare $61 - $495 332%
Religious Order Of Jehovah Witness $111 604%
Unicare $134 - $557 729%
Healthcare Highways $136 - $188 740%
Healthcare Highways Ntx $142 - $195 772%
Evry Health $144 783%
Prominence Health Plan $223 1213%
City Of Mckinney $250 1359%
Fidelis Securecare $250 1359%
Emerging Therapy Solutions $273 - $390 1485%
National Choicecare $278 1512%
Pc Texas Partners $306 1664%
Physicians Coop Of Tx $306 1664%
Rockport Health Group $306 1664%
Texas Instruments $312 1697%
Averde Health, Inc $323 1756%
Coastal Comp Health Networks $390 2121%
Mega Life $390 2121%
Multiplan Phcs $390 2121%
Healthsmart Preferred Care $395 2148%
Lewisville Isd/Dls Consulting $418 2273%
Usc Health Services $445 2420%
Galaxy Health Network $473 2572%
Independent Medical Systems $557 3029%
National Healthcare Solutions $557 3029%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7777 Forest Lane, Dallas, TX 75230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals