CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: University of Alabama Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $181
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 9.84x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at University of Alabama Hospital is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 9.84x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$181

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$18.39

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $18.39 (100%)
Insurance Median: $181 (984%)
Ins. Median: $181 (984% of 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 984% of the Medicare baseline (a markup of 884%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Viva $13 - $19 71%
Humana $17 - $307 92%
Birmingham Fc $18 98%
Blue Cross Blue Shield $18 98%
Cooper Green $18 98%
Davita Villagehealth $18 98%
Jefferson County Sheriff $18 98%
Triwest $18 98%
UnitedHealthcare $18 - $196 98%
Cigna $20 - $242 109%
Ambetter / Centene $25 136%
University Of Alabama $72 - $180 392%
Aetna $88 - $220 479%
Coventry $94 - $292 511%
North Alabama Managed Care $94 - $235 511%
Comp One $104 - $260 566%
Construction Claims Management $108 - $270 587%
Alamed $109 - $271 593%
Corvel $116 - $289 631%
Evolutions $116 - $325 631%
Healthcare Alliance $116 - $289 631%
Novanet $116 - $325 631%
Prime Health Services $116 - $325 631%
Select Value Care $116 - $289 631%
Starcare $116 - $289 631%
Tethys $116 - $289 631%
Multiplan $119 - $296 647%
Department Of Labor $123 - $307 669%
Geha $123 - $307 669%
Gulf Health Plans $123 - $307 669%
Heritage Summit Health $123 - $307 669%
Mississippi Physicians $123 - $307 669%
Phifer $123 - $307 669%
Preferred Health Partnership $123 - $307 669%
Southern Nuclear $123 - $307 669%
Vantage Health Plan $123 - $307 669%
Galaxy Health Network $130 - $325 707%
National Provider Network $130 - $325 707%
North Mississippi Health Link $130 - $325 707%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals