CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Marshfield Medical Center - Rice Lake

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $199
Cash Discount Price: $199
vs. Medicare Baseline: 10.82x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Marshfield Medical Center - Rice Lake is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $199. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 10.82x the Medicare baseline. Located in 1700 West Stout Street, Rice Lake, WI.

Cash / Self-Pay

$199

Average discount available for prompt cash payment at this facility.

Insurance Median

$199

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: $199 (1082%)

Insurance Median: $199 (1082%)

Cash: $199 (1082% of Medicare)

Ins. Median: $199 (1082% 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 1082% of the Medicare baseline (a markup of 982%). 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
Security Health Plan (Shp)	$18 - $127	98%
Veteran'S Administration (Va Ccn)	$18	98%
Blue Cross Blue Shield	$19 - $115	103%
Group Health Cooperative Of Eau Claire	$19 - $201	103%
Point Comfort Underwriters	$20	109%
Managed Health Services	$21	114%
UnitedHealthcare	$64 - $172	348%
Family Health Center (Fhc)	$104	566%
Amish/Mennonite	$115	625%
Sanford Health Plan	$115	625%
The Alliance	$132 - $968	718%
Molina Healthcare Of Wi	$178	968%
Besse Forest Products	$199	1082%
Cigna	$199	1082%
Corvel	$199	1082%
First Health	$199	1082%
Health Partners	$199	1082%
Healtheos By Multiplan Inc.	$199	1082%
Rice Lake School District	$199	1082%
Medica Of Wi	$200 - $204	1088%
Trilogy	$200 - $201	1088%
Coventry	$201	1093%
Health Smart	$201	1093%
Rising Medical Work Comp	$203	1104%
Wps Health Insurance	$204	1109%
Three Rivers Provider Network (Trpn)	$205	1115%

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 $199.
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 Marshfield Medical Center - Rice Lake 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.