CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Comanche County Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $56
Cash Discount Price: $73
vs. Medicare Baseline: 3.05x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Comanche County Medical Center is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 3.05x the Medicare baseline. Located in 10201 Hwy 16, Comanche, TX.

Cash / Self-Pay

$73

Average discount available for prompt cash payment at this facility.

Insurance Median

$56

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: $73 (397%)

Insurance Median: $56 (305%)

Cash: $73 (397% of Medicare)

Ins. Median: $56 (305% 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 305% of the Medicare baseline (a markup of 205%). 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
Swhp Comm - All Other Plans	$12 - $29	65%
Choicecare Comm - All Other Plans	$24 - $59	131%
Choicecare Mcr Adv	$24 - $59	131%
Humana	$24 - $112	131%
Molina Mcr Adv - All Other Plans	$24 - $59	131%
Pphp Mcr Adv - All Plans	$24 - $59	131%
Superior Epo/Hmo - All Plans	$24 - $59	131%
Swhp Mcr Adv	$24 - $59	131%
Wellmed Mcr Adv - All Plans	$24 - $59	131%
Alliance Wc - All Plans	$37 - $89	201%
Aetna	$42 - $101	228%
Molina Mcaid	$42 - $101	228%
Swhp Mcaid	$42 - $101	228%
Cigna	$43 - $104	234%
Blue Cross Blue Shield	$44 - $46	239%
Occunet - All Plans	$50 - $120	272%
First Care Hmo - All Other Plans	$56 - $136	305%
First Care Hmo Self Funded	$56 - $136	305%
Mpi - All Plans	$59 - $144	321%

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 $73.
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 Comanche County Medical Center 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.