Blood test, PSA (prostate screen)
Facility: Bmh-Calhoun
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $74
- Cash Discount Price: $50
- vs. Medicare Baseline: 4.02x 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 402% of the Medicare baseline (a markup of 302%). 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 |
|---|---|---|
| Veterans Evaluation Services | $18 | 98% |
| Molina | $19 - $76 | 103% |
| Blue Cross Blue Shield | $23 - $43 | 125% |
| PPO Holdings | $36 | 196% |
| Magnolia Regional Health Center | $38 | 207% |
| Tricare | $39 | 212% |
| Vaccn | $41 | 223% |
| Triwest | $41 | 223% |
| Ms Breast and Cervical | $41 | 223% |
| Devoted Health | $42 | 228% |
| Aetna | $43 - $62 | 234% |
| Primewell | $43 | 234% |
| American Health Plan | $43 | 234% |
| Shared Health | $43 | 234% |
| Humana | $43 - $77 | 234% |
| Magnolia Ms | $47 | 256% |
| Littler | $48 | 261% |
| Cigna | $53 | 288% |
| First Choice Health Plan of Ms | $62 | 337% |
| First State Bank Trust | $70 | 381% |
| Burch Food Services | $70 | 381% |
| Radians | $74 | 402% |
| Mechanical Systems | $74 | 402% |
| State Systems | $74 | 402% |
| Vaughn Electric | $74 | 402% |
| Heavy Machines | $74 | 402% |
| Carlisle | $74 | 402% |
| W G Yates | $74 | 402% |
| Hattiesburg Clinic | $74 | 402% |
| Heartland Catfish Company | $74 | 402% |
| Brimhall Foods | $74 | 402% |
| United Tn Holdings | $74 | 402% |
| Minact | $74 | 402% |
| Patterson Warehouses | $74 | 402% |
| Cannon Motor Company | $74 | 402% |
| Hollowell Industries | $74 | 402% |
| Jas D Collier | $74 | 402% |
| Retzer Resources | $74 | 402% |
| Hospitality Management Advisors | $74 | 402% |
| Dunn Investment Company | $74 | 402% |
| Gossett Motor Cars | $74 | 402% |
| Town of Collierville | $74 | 402% |
| City of Bartlett | $74 | 402% |
| Security One | $74 | 402% |
| Y K Auto Group | $74 | 402% |
| Desoto Co Board of Supervisors | $74 | 402% |
| Arlington Community Schools | $74 | 402% |
| Collierville Schools | $74 | 402% |
| City of Lakeland | $74 | 402% |
| Armstrong Relocation | $74 | 402% |
| Delta Industries | $74 | 402% |
| First Community Bank | $74 | 402% |
| Malco Theaters | $74 | 402% |
| French Camp Academy | $74 | 402% |
| Lakeland School System | $74 | 402% |
| W W Wood Products | $74 | 402% |
| Ritchey Automotive | $74 | 402% |
| Bartlett City Schools | $74 | 402% |
| Silver Tree | $74 | 402% |
| Rei Nation | $74 | 402% |
| Davidson Hospitality | $74 | 402% |
| Building Plastic | $74 | 402% |
| Crittenden County | $74 | 402% |
| Mid-South Transport | $74 | 402% |
| Watkins Uiberall | $74 | 402% |
| Ashley Furniture Stores | $74 | 402% |
| Eas Mssc Schools | $74 | 402% |
| Advanced Health Systems Inc. | $77 | 419% |
| Christian Health Aid | $77 | 419% |
| PPO Plus | $82 | 446% |
| Harding Academy | $83 | 451% |
| Employers Health Network | $83 | 451% |
| Qca | $86 | 468% |
| Multiplan | $86 | 468% |