Blood test, PSA (prostate screen)
Facility: Greeley County Health Services
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $18
- Cash Discount Price: $85
- vs. Medicare Baseline: 0.98x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $18 | 98% |
| Aetna | $18 | 98% |
Consumer Guidance & Cost Commentary
For the prostate screening procedure (CPT 84153) at Greeley County Health Services in Tribune, Kansas, the cash median price is $85.00, which is significantly lower than the negotiated rates of $18.00 for both Medicaid/KanCare and Aetna. This price transparency data highlights a common billing dynamic where commercial insurance contracts can exceed cash prices due to administrative overhead and contract structures. Patients with high-deductible plans or those without insurance may find it financially advantageous to pay the cash price directly, provided they verify the facility's "self-pay" or "prompt-pay" discounts before scheduling. It is important to note that while the facility is a Critical Access Hospital owned by the local government, the cash rate of $85.00 remains the most transparent baseline for comparison against other providers in the region.
When evaluating the cost of this service, it is essential to compare rates against the Medicare benchmark rather than the facility's gross charges. The Medicare amount for this code is $18.39, and the negotiated rates of $18.00 are slightly below this federal baseline, suggesting fair pricing relative to the government's cost-based reimbursement model. Conversely, the cash price of $85.00 represents a substantial markup over the Medicare rate, which is typical for commercial cash-pay scenarios. Consumers should be aware that summary bills often obscure these specific line-item costs, so requesting a detailed, itemized audit is the most effective way to ensure no unbundled charges or errors are included. If a balance bill arises from an out-of-network ancillary service, patients should not pay immediately but instead request a No Surprises Act audit to protect against unexpected costs