CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Yoakum County Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $68
Cash Discount Price: $86
vs. Medicare Baseline: 3.70x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Yoakum County Hospital is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 3.70x the Medicare baseline. Located in 412 Mustang Avenue, Denver City, TX.

Cash / Self-Pay

$86

Average discount available for prompt cash payment at this facility.

Insurance Median

$68

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: $86 (468%)

Insurance Median: $68 (370%)

Cash: $86 (468% of Medicare)

Ins. Median: $68 (370% 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 370% of the Medicare baseline (a markup of 270%). 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
Firstcare	$18 - $130	98%
Multiplan	$18 - $163	98%
90 Degree Benefits	$36 - $93	196%
Cigna	$47 - $121	256%
Humana	$47 - $121	256%
Insurance Services Of Lubbock	$47 - $121	256%
UnitedHealthcare	$47 - $149	256%
Aetna	$48 - $158	261%
Dars	$51 - $130	277%
Healthsmart	$61 - $157	332%
Phcs	$61 - $158	332%
Capstar	$65 - $167	353%
Blue Cross Blue Shield	$67 - $158	364%
Provider Network	$70 - $181	381%

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 $86.
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 Yoakum County Hospital 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.