CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: HCA Florida Citrus Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $27
  • Cash Discount Price: $451
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at HCA Florida Citrus Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $451. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.47x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.
Cash / Self-Pay
$451

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $451 (2452%)
Insurance Median: $27 (147%)
Cash: $451 (2452% of Medicare)
Ins. Median: $27 (147% 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
Caresource $17 92%
Humana $17 - $126 92%
Aetna $18 - $135 98%
Hernando-Pasco Hospice $18 98%
Ndms Definitive Care $18 98%
United $18 - $203 98%
United Behavioral Health $18 98%
United Va Ccn $18 98%
Wellmed $18 98%
American Health Plan $19 103%
Blue Cross Blue Shield $19 103%
Sunshine State $19 103%
Ultimate Health Plan $19 103%
Wellcare $19 103%
Align Senior Care $20 109%
Centurion $20 109%
Cigna $20 109%
Clear Spring Health $20 109%
Florida Complete Care $20 109%
Gold Kidney Of Florida $20 109%
Secur $20 109%
Access 2 Healthcare Physicians Freedom Optimum Group Members $21 114%
Simply Healthcare $23 125%
Oscar $25 136%
Access 2 Healthcare Physicians Freedom Health $27 147%
Access 2 Healthcare Physicians Optimum $27 147%
Freedom Health Care $29 158%
Optimum Healthcare $29 158%
Avmed $36 - $113 196%
Molina $86 - $122 468%
Evolutions Healthcare Systems $104 - $415 566%
Sunshine State Health Plan $115 625%
Corvel Corporation $141 767%
Rockport Healthcare Group $141 767%
Prime Health $144 783%
Beacon Health Options $226 1229%
Plotkin Health $226 1229%
Prime Health Sheriff $226 1229%
Multiplan $338 - $384 1838%
Evernorth $361 1963%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Highland Blvd, Inverness, FL 34452
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals