CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: UF Health Shands Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $20
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at UF Health Shands Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.09x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $58 (315%)
Insurance Median: $20 (109%)
Cash: $58 (315% of Medicare)
Ins. Median: $20 (109% 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
Aetna $7 - $87 38%
Amerihealth Caritas Florida $7 38%
Beacon Health Strategies $7 38%
Community Care Plan $7 38%
Florida Community Care $7 38%
Humana $7 - $19 38%
Molina $7 38%
Sunshine State Health Plan $7 38%
UnitedHealthcare $7 - $19 38%
Simply Healthcare $8 44%
Avmed $18 98%
Blue Cross Blue Shield $18 - $57 98%
Capital Health Plan $18 - $53 98%
North Central Hospice $18 98%
Vha $18 98%
Wellcare $18 98%
Careplus $19 103%
Ahf Mco Of Fl $20 109%
Carelon Health $20 109%
Devoted Health Plan $20 109%
Freedom Health- Inc./Optimum Healthcare- Inc. $20 109%
Positive Healthcare Partners $20 109%
Ghilcrest County $23 125%
Levy County $23 125%
Wellpath $29 158%
Uaa $40 218%
Ambetter / Centene $42 228%
Northeast Fl Hospital $47 256%
Florida Health Care Plan $53 288%
Health First $74 402%
Prime Health Services $74 402%
Cigna $79 430%
Archbold Medical Center $80 435%
Genex $80 435%
Corvel Corp $90 489%
Geha $95 517%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Sw Archer Rd, Gainesville, FL 32610
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals