CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Bellin Memorial Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $67
Cash Discount Price: $66
vs. Medicare Baseline: 3.64x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Bellin Memorial Hospital is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 3.64x the Medicare baseline. Located in 744 S Webster Ave, Green Bay, WI.

Cash / Self-Pay

$66

Average discount available for prompt cash payment at this facility.

Insurance Median

$67

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: $66 (359%)

Insurance Median: $67 (364%)

Cash: $66 (359% of Medicare)

Ins. Median: $67 (364% 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 364% of the Medicare baseline (a markup of 264%). 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
Blue Cross Blue Shield	$18 - $76	98%
Community Care	$18 - $57	98%
Humana	$18 - $57	98%
My Choice	$18 - $26	98%
UnitedHealthcare	$18 - $71	98%
Aetna	$26 - $30	141%
Network Health	$26 - $76	141%
Chorus Community Health Plan	$65 - $101	353%
Aspirus Arise	$70 - $73	381%
Cigna	$71 - $72	386%
Wps Insurance	$74 - $86	402%
Hps/Paymedix	$75 - $81	408%
Trilogy	$77	419%
Healthsmart	$81	440%
Ihs(Claimsbridge)	$81	440%
Medical College Of Wi	$81	440%
Multiplan	$81	440%
Allied National	$86	468%
First Health	$86	468%
Galaxy Health	$86	468%
Three Rivers Provider Network	$91	495%
Common Ground	$115	625%

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 $66.
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 Bellin Memorial 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.