Blood test, PSA (prostate screen)
Facility: Ohio Valley Surgical Hospital
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $11,885
- Cash Discount Price: $113
- vs. Medicare Baseline: 646.28x 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 64628% of the Medicare baseline (a markup of 64528%). 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 | $2 - $40,293 | 11% |
| UnitedHealthcare | $22 - $17,571 | 120% |
| Genworth | $26 - $20,896 | 141% |
| Mhbp | $26 - $20,896 | 141% |
| Meritain Heatlh | $26 - $20,896 | 141% |
| Mail Handlers | $26 - $20,896 | 141% |
| Ngs Coresource | $26 - $20,896 | 141% |
| Aetna | $26 - $20,896 | 141% |
| Nippon Life | $26 - $20,896 | 141% |
| Geha | $26 - $20,896 | 141% |
| Pacific Source | $26 - $20,896 | 141% |
| Meritain | $26 - $20,896 | 141% |
| Personify Health | $26 - $20,896 | 141% |
| Mmoh | $85 - $11,885 | 462% |
| Mmoh (Supermed) | $87 - $88 | 473% |
| Mmo Cin. HMO | $87 - $119 | 473% |
| Medicare (plans) | $113 - $12,264 | 614% |
| Luminare Health | $170 | 924% |
| Medben | $170 | 924% |
| Preferred Health | $170 | 924% |
| Ohio Health | $170 | 924% |
| Medicaid / KanCare | $3,557 - $17,827 | 19342% |
| Amerihealth Caritas of Ohio | $3,657 | 19886% |
| Buckeye Community Health Plan | $4,022 | 21871% |
| Molina McD | $4,084 | 22208% |
| Caresource | $4,364 - $17,827 | 23730% |
| Humana | $4,493 - $11,919 | 24432% |
| Cigna | $11,885 - $18,817 | 64628% |
| Central States | $11,885 | 64628% |
| American Continental Insurance | $11,885 | 64628% |
| Bankers Life and Casualty | $11,885 | 64628% |
| Molina McR McD | $11,885 | 64628% |
| Wellcare By Allwell | $11,885 | 64628% |
| Aarp | $11,885 | 64628% |
| Medigold | $11,885 | 64628% |
| Communicare Advantage | $11,885 | 64628% |
| Everest | $11,885 | 64628% |
| Prosperity Supplement | $11,885 | 64628% |
| Gateway Health Plan | $11,885 | 64628% |
| American Retirement | $11,885 | 64628% |
| Aarp Supplemental | $11,885 | 64628% |
| Molina Marketplace | $11,885 | 64628% |
| Molina McR | $11,885 | 64628% |
| American Republic | $11,885 | 64628% |
| Bankers Fidelity | $11,885 | 64628% |
| Champus | $11,885 | 64628% |
| Aultcare Primetime Health Plan | $11,885 | 64628% |
| Self Pay Imaging | $11,885 | 64628% |
| Patient No Pay | $11,885 | 64628% |
| Wraparound Pl Supp | $11,885 | 64628% |
| Molina McR+McD | $11,885 | 64628% |
| Molina Dual McR | $11,885 | 64628% |
| Molina Dual McR | $11,885 | 64628% |
| Molina | $11,885 | 64628% |
| American Continental Life | $11,885 | 64628% |
| The Health Plan | $12,479 | 67858% |
| Devoted Health | $13,707 | 74535% |
| Employer Direct | $15,703 | 85389% |
| Oxford | $17,571 | 95546% |
| Ushealth | $17,571 | 95546% |
| Shl | $17,571 | 95546% |
| Golden Rule | $17,571 | 95546% |
| Surest | $17,571 | 95546% |
| Medica | $17,571 | 95546% |
| Caresourse | $17,827 | 96939% |
| Sbma | $18,817 | 102322% |
| Healthgram | $18,817 | 102322% |
| Samba | $18,817 | 102322% |
| Nalc | $18,817 | 102322% |
| Unified Group | $18,817 | 102322% |