CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: HCA Florida Jfk Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $23
  • Cash Discount Price: $117
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at HCA Florida Jfk Hospital is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.25x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$117

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $117 (636%)
Insurance Median: $23 (125%)
Cash: $117 (636% of Medicare)
Ins. Median: $23 (125% 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
Freedom Health $10 - $19 54%
Optimum $10 54%
Avmed $15 - $58 82%
Simply Healthcare Plans $15 82%
Palm Beach Pace $17 92%
Careplus Sfl $18 98%
Devoted Health $18 98%
Humana $18 - $40 98%
Ndms Definitive Care $18 98%
United $18 - $53 98%
United Behavioral Health $18 98%
Veterans Evaluation Services $18 98%
Wellmed $18 98%
Aetna $19 - $35 103%
American Health Plan $19 103%
Blue Cross Blue Shield $19 103%
Oscar $19 - $26 103%
Prominence Healthfirst $19 103%
Sunshine State $19 - $20 103%
Align $20 109%
Centurion $20 109%
Cigna $20 109%
Doctors Healthcare Plan $20 109%
Florida Complete Care $20 109%
Molina $20 - $32 109%
Gold Kidney $21 114%
Amerihealth Caritas $22 - $28 120%
Longevity Health Plan $22 120%
Simply Healthcare $23 125%
Health Sun Health Plan $25 136%
Aids Healthcare $26 - $140 141%
Mmm Of Fl (Health Advantage Plan) $27 147%
Solis Health Plan $27 147%
United Ppo $28 152%
Sunshine State Health Plan $30 163%
Blis $41 223%
District Cares $58 315%
Plotkin Health $58 315%
Prime Health Sherriff $58 315%
Medica Healthcare $69 375%
Multiplan $88 - $99 479%
Evernorth Bh $94 511%
Corvel Corporation $156 848%
Careworks (Rockport) $160 870%
Prime Health $160 870%
Healthy Palm Beaches $550 2991%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals