CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Aurora St Lukes Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $54
Cash Discount Price: $90
vs. Medicare Baseline: 2.94x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Aurora St Lukes Medical Center is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 2.94x the Medicare baseline. Located in 2900 W Oklahoma Ave, Milwaukee, WI.

Cash / Self-Pay

$90

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $90 (489%)

Insurance Median: $54 (294%)

Cash: $90 (489% of Medicare)

Ins. Median: $54 (294% 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 294% of the Medicare baseline (a markup of 194%). 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
UnitedHealthcare	$15 - $152	82%
Aurora Caregiver	$18	98%
Blue Cross Blue Shield	$18 - $153	98%
Common Ground	$39 - $40	212%
Centivo	$40	218%
Aetna	$41 - $149	223%
Health Payment Systems	$46	250%
Quartz One	$46	250%
Healthpartners	$49 - $135	266%
Molina Exchange	$51	277%
Hs Technology	$52	283%
Quartz Group	$53	288%
Cigna	$54 - $152	294%
Everpointe Elite	$54	294%
Wisconsin Physician Service	$60 - $63	326%
Trilogy	$65	353%
Health Eos Plus	$108	587%
Health Eos	$144	783%

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 $90.
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 Aurora St Lukes 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.