CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Medical City Green Oaks Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $22
  • Cash Discount Price: $171
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Medical City Green Oaks Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.20x the Medicare baseline. Located in 7808 Clodus Fields Drive, Dallas, TX.
Cash / Self-Pay
$171

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: $171 (930%)
Insurance Median: $22 (120%)
Cash: $171 (930% 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
Superior Health Plan $12 65%
Devoted Health $18 98%
Humana $18 - $204 98%
Mutual Of Omaha $18 98%
Triwest Veterans $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%
Texas Independent Health Plan $19 103%
Wellcare $19 103%
Cenpatico $20 109%
Imperial Insurance Company $20 109%
Molina $20 109%
Triwest Health Alliance $20 109%
Verda Health Plan $24 131%
Superior $33 - $41 179%
Healthcare Highways $42 - $58 228%
Evry Health $44 239%
Molina Healthcare $48 261%
City Of Mckinney $77 419%
Pc Texas Partners $94 511%
Physicians Coop Of Tx $94 511%
Averde Health, Inc $99 538%
Aetna $102 - $120 555%
Magellan Bh $102 555%
Value Options Behavioral Health $102 555%
Usa Managed Care $111 604%
Coastal Comp Health Networks $120 653%
Cigna $137 745%
Compsych Corporation $137 745%
Galaxy Health Network $145 788%
Three Rivers Provider Network $154 837%
Independent Medical Systems $171 930%
National Healthcare Solutions $171 930%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7808 Clodus Fields Drive, Dallas, TX 75251
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Psychiatric