Blood test, PSA (prostate screen)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $183
- Cash Discount Price: $244
- vs. Medicare Baseline: 9.95x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 995% of the Medicare baseline (a markup of 895%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Blue Cross Blue Shield | $146 | 794% |
| Americas Choice Provider Network | $171 | 930% |
| Usa Managed Care Organization | $183 | 995% |
| Quiktrip Corporation | $183 | 995% |
| Velocity | $183 | 995% |
| Provider Network Of America | $183 | 995% |
| Multiplan-Phcs | $195 | 1060% |
| Prime Health Services | $208 | 1131% |
| Medincrease | $220 | 1196% |
Consumer Guidance & Cost Commentary
For the blood test procedure (CPT 84153) at the Rehabilitation Hospital Of Overland Park, the cash price is $244.00, which matches the facility's median paid amount. This cash rate is significantly higher than the Medicare benchmark of $18.39, reflecting a markup common in commercial healthcare. While the facility's negotiated rates with major payers like Blue Cross Blue Shield and Americas Choice Provider Network range from $146 to $220, these amounts are still well above the Medicare baseline. Patients with high-deductible plans may find paying the full $244.00 cash directly more cost-effective than relying on insurance, as the negotiated rates often exceed the cash price due to administrative overhead and contract structures.
To minimize potential costs, patients should verify if the facility offers "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid upfront. It is also important to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected. Finally, if a patient receives a balance bill from an out-of-network provider, they should not pay immediately out of fear; instead, they should dispute the charge with their insurer and request a No Surprises Act audit to ensure compliance with federal protections against surprise billing.