CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Baptist Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $18
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Baptist Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 0.98x the Medicare baseline. Located in 123 Baptist Way, Pensacola, FL.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $15 (82%)
Insurance Median: $18 (98%)
Cash: $15 (82% of Medicare)
Ins. Median: $18 (98% 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
Hospice Regency $3 - $58 16%
Cigna $5 - $192 27%
Aetna $6 - $140 33%
Cha Health Plan $6 33%
Hospice Emerald Coast $6 - $96 33%
UnitedHealthcare $6 - $18 33%
Escambia $7 - $115 38%
Fl Community Care Ltc $7 38%
Humana $7 - $19 38%
Mh Sunshine Mcaid $7 38%
Private Healthcare $7 - $125 38%
Simply Healthcare Healthy Kids $7 38%
Staywell $7 38%
Sunshine Health $7 38%
Uwf Athletes $7 - $125 38%
Choicecare $8 - $144 44%
First Health $8 - $133 44%
Mh Choicecare $8 - $144 44%
Wc Corvel $8 - $182 44%
Multiplan $10 - $171 54%
Mh Wellcare $11 - $19 60%
Hospice Covenant $18 98%
Medicare (plans) $18 98%
Healthspring Of Fl Al $19 103%
Wellcare $19 103%
Fl Blue $28 - $426 152%
Pensacola $29 158%
Bc Fl $305 1659%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 123 Baptist Way, Pensacola, FL 32503
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals