CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Crestwood Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $21
  • Cash Discount Price: $37
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Crestwood Medical Center is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.14x the Medicare baseline. Located in One Hospital Dr Se, Huntsville, AL.
Cash / Self-Pay
$37

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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%)
Cash / Self-Pay: $37 (201%)
Insurance Median: $21 (114%)
Cash: $37 (201% of Medicare)
Ins. Median: $21 (114% 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.

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
Cigna $12 - $18 65%
Medicaid / KanCare $13 71%
Blue Cross Blue Shield $15 - $18 82%
Tricare $15 82%
Node Champva $16 87%
UnitedHealthcare $17 - $18 92%
Alacare Hospice $18 98%
Hospice $18 98%
Humana $18 98%
Medicare (plans) $18 98%
Node Devoted Health Mcr Adv $18 98%
Node Select Health Mcr Adv $18 98%
Node Va $18 98%
Node Windsor Mcr Adv $18 98%
Veterans Eval Services $18 98%
Viva Health $18 98%
Aetna $19 - $21 103%
Node Clover Health Mcr Adv $19 103%
Node Prime Health Mcr Adv $19 103%
Node Wellcare Mcr Adv $19 103%
Node Us Dept Of Labor $23 125%
Occunet $23 125%
Ambetter / Centene $28 152%
Self Pay $34 - $39 185%
American Employee Alliance $75 408%
Wc Hart & Cooley $75 408%
Alamed $94 511%
Wc Acs Compiq Xerox $115 625%
Fortified $130 - $150 707%
Core Choice $131 - $137 712%
Prime Health $131 - $144 712%
Coventry $133 723%
Rockport $134 729%
America'S Choice $137 - $150 745%
Novanet $137 - $140 745%
Wc Al $144 783%
Multiplan $159 865%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Dr Se, Huntsville, AL 35801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals