CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: HCA Florida Highlands Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $29
  • Cash Discount Price: $560
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at HCA Florida Highlands Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $560. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.58x the Medicare baseline. Located in 3600 S Highlands Ave, Sebring, FL.
Cash / Self-Pay
$560

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $560 (3045%)
Insurance Median: $29 (158%)
Cash: $560 (3045% of Medicare)
Ins. Median: $29 (158% 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
Devoted Health $18 98%
Humana $18 - $224 98%
Ndms Definitive Care $18 98%
United $18 - $252 98%
Wellmed $18 98%
Aetna $19 - $168 103%
American Health Plan $19 103%
Blue Cross Blue Shield $19 103%
Prominence Healthfirst $19 103%
Sunshine State $19 - $20 103%
Centurion $20 109%
Cigna $20 109%
Florida Complete Care $20 109%
Amerihealth Caritas $22 120%
Longevity Health Plan $22 120%
Oscar $35 190%
Simply Healthcare $42 228%
Freedom Health $48 261%
Avmed $73 - $280 397%
Molina $106 576%
Prime Health $139 756%
Office Of Sheiff Highland Co $196 1066%
United Ppo $246 1338%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3600 S Highlands Ave, Sebring, FL 33870
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals