Blood test, PSA (prostate screen)
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $78
- Cash Discount Price: $69
- vs. Medicare Baseline: 4.24x 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 424% of the Medicare baseline (a markup of 324%). 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 |
|---|---|---|
| Cca Senior Care Options | $18 | 98% |
| Geha | $18 | 98% |
| Harvard Pilgrim Healthcare | $18 | 98% |
| Aetna | $18 - $25 | 98% |
| UnitedHealthcare | $18 | 98% |
| Medicare (plans) | $18 - $19 | 98% |
| Blue Cross Blue Shield | $18 - $78 | 98% |
| Cigna | $19 - $65 | 103% |
| Meritain | $25 | 136% |
| Nippon Life Ins | $25 | 136% |
| 1199 National Benefit Fund | $25 | 136% |
| Luminare Health | $25 | 136% |
| Gravie Admin Services | $25 | 136% |
| Allied Benefit Systems | $25 | 136% |
| Hap | $25 | 136% |
| Webtpa | $25 | 136% |
| Claimdoc | $39 | 212% |
| Diversified Administrators | $39 | 212% |
| Innovative Health Plan II | $39 | 212% |
| Connecticut Dept of Correction | $55 | 299% |
| Health Partners | $65 | 353% |
| Magnacare | $65 | 353% |
| Allegiance | $65 | 353% |
| Health New England | $67 | 364% |
| Pre-Employment | $78 | 424% |
| Wc Domestic | $78 | 424% |
| Blue Benefit Administrators of Massachusetts | $78 | 424% |
| Blue Shield - Ca | $78 | 424% |
| Blue Shield - Ny Highmark Western | $78 | 424% |
| Blue Distinction Transplant | $78 | 424% |
| Blue Care Network | $78 | 424% |
| Kaiser Domestic | $78 | 424% |
| Blue Shield - Id (Regence) | $78 | 424% |
| Blue Shield - PA (Highmark) | $78 | 424% |
| Blue Shield - Ny Highmark Northeastern | $78 | 424% |
| Unicare | $78 | 424% |
| Blue Shield - Wa (Regence) | $78 | 424% |
| Bcn Domestic | $78 | 424% |
| Health Choices | $78 | 424% |
| Dean Health | $86 | 468% |
| Paramount HMO | $86 | 468% |
| Trinity Health Share | $86 | 468% |
| Pai | $86 | 468% |
| International Benefit Administrators | $86 | 468% |
| Mvp | $86 | 468% |
| PHCS | $86 | 468% |
| Allied National Global Care | $86 | 468% |
| Lifetime Benefit Solutions | $86 | 468% |
| Family Life Insurance Company | $86 | 468% |
| Medi Share | $86 | 468% |
| Pan-American Life | $86 | 468% |
| Christian Care Ministry | $86 | 468% |
| Multiplan | $86 | 468% |
| Manhattan Life | $86 | 468% |
| Asrm - Reliance Standard Life Insurance | $86 | 468% |
| Ghc Scw | $86 | 468% |
| Prime Health Services | $101 | 549% |
| Connecticare | $103 - $113 | 560% |
| Health Smart | $107 | 582% |