Blood test, PSA (prostate screen)
Facility: Licking Memorial Hospital
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $210
- Cash Discount Price: $279
- vs. Medicare Baseline: 11.42x 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 1142% of the Medicare baseline (a markup of 1042%). 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 |
|---|---|---|
| UnitedHealthcare | $18 - $265 | 98% |
| Tricare | $18 - $19 | 98% |
| Veterans Administration [100068] | $18 - $19 | 98% |
| Blue Cross Blue Shield | $18 - $268 | 98% |
| Humana | $18 - $302 | 98% |
| Cigna | $18 - $280 | 98% |
| Medicare (plans) | $18 - $19 | 98% |
| Wellcare By Allwell [450104] | $18 - $19 | 98% |
| Champva [500001] | $18 - $19 | 98% |
| Aetna | $18 - $227 | 98% |
| Molina Marketplace [100106] | $29 - $31 | 158% |
| Medical Mutual [100114] | $136 - $259 | 740% |
| Medben [700068] | $173 - $305 | 941% |
| Allied Benefit Systems [100015] | $178 - $224 | 968% |
| Optima [700069] | $178 - $224 | 968% |
| Gravie Administrative Services [100165] | $178 - $224 | 968% |
| Geha [100039] | $178 - $224 | 968% |
| Webtpa [100127] | $178 - $224 | 968% |
| Trustmark Small Business Benefits [100263] | $178 - $224 | 968% |
| Meritain [100063] | $178 - $224 | 968% |
| Benicomp [70090] | $185 - $234 | 1006% |
| Consociate Health [100029] | $198 - $249 | 1077% |
| Consociate Health 6 Degrees [100059] | $198 - $249 | 1077% |
| Healthscope [100157] | $210 - $265 | 1142% |
| United Medical Resources [700071] | $210 - $265 | 1142% |
| Surest [100016] | $210 - $265 | 1142% |
| Antidote Health Plan of Ohio [70006803] | $222 - $280 | 1207% |
| Osu Prime Care [100254] | $222 - $280 | 1207% |
| Ohio Healthy [100255] | $222 - $280 | 1207% |
| Quality Care Partners [70006802] | $222 - $280 | 1207% |
| Great West Life [700064] | $222 - $280 | 1207% |
| Coresource [100002] | $222 - $312 | 1207% |
| Ohio Healthy Luminare Health [100264] | $222 - $280 | 1207% |
| American Postal Workers [100089] | $222 - $280 | 1207% |
| Wellfleet Group, LLC [100164] | $222 - $280 | 1207% |
| Ohio PPO Connect [70006801] | $222 - $280 | 1207% |
| National Association of Letter Carriers [100067] | $222 - $280 | 1207% |
| The Health Plan [100261] | $222 - $280 | 1207% |
| Coventry [100010] | $228 - $288 | 1240% |
| Pan American Life [700070] | $228 - $288 | 1240% |
| Ohio Health Choice [100109] | $237 - $299 | 1289% |
| Administrative Concepts [100006] | $240 - $302 | 1305% |
| Carefactor [100087] | $240 - $302 | 1305% |
| Reliance Standard-Asrm [100258] | $240 - $302 | 1305% |
| Philadelphia American Life [100260] | $240 - $312 | 1305% |