CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $7
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.38x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Baptist Health Medical Center - Jacksonville is $7. 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 0.38x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $7 (38%)
Ins. Median: $7 (38% 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
Amerigroup Of Georgia $6 33%
Caresource Of Georgia $6 33%
Daniel Memorial $6 33%
Humana $6 - $7 33%
Peach State Health Plan $6 33%
Simply Healthcare Plans $6 - $7 33%
Simply Healthcare Plans - Cha $6 33%
Aetna $7 - $19 38%
Amerihealth Caritas $7 38%
Florida Community Care $7 - $19 38%
Molina Healthcare Of Florida $7 38%
Sunshine State Health Plan $7 38%
United Community Plan $7 38%
Vivida Health $7 38%
Community Hospice Of Northeast Florida $18 98%
Pace $18 98%
Tomorrow'S Rainbow $18 98%
Va Ccn $18 98%
Devoted $19 103%
UnitedHealthcare $19 103%
Upmc $20 109%
Corvel $21 114%
Coventry Workers Comp $21 114%
Non-Contracted $21 114%
Ambetter / Centene $44 239%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals