CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: North Okaloosa Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $28
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at North Okaloosa Medical Center is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.52x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $63 (343%)
Insurance Median: $28 (152%)
Cash: $63 (343% of Medicare)
Ins. Median: $28 (152% 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 $6 33%
Humana $6 - $19 33%
Integral Health $6 33%
Medicaid / KanCare $6 33%
Simply Healthcare $6 - $19 33%
UnitedHealthcare $6 - $125 33%
Wellcare $6 - $19 33%
Magellan Health $7 38%
Prestige Health $7 38%
Self Pay $9 - $171 49%
Corizon Health Inc $16 - $214 87%
Tricare $16 87%
Node Champva $17 92%
Aetna $18 - $474 98%
Blue Cross Blue Shield $18 - $461 98%
Cigna $18 - $493 98%
Medicare (plans) $18 98%
Node Non Par Hospice Agree $18 98%
Node Va $18 98%
Veterans Eval Services $18 98%
Evolutions $20 - $556 109%
Florida Department Of Corrections $20 109%
Prime Health Work Comp Fl $20 109%
Usa Managed Care Work Comp Fl $20 109%
Amcomp Workers Comp $21 114%
Node Us Dept Of Labor $23 125%
Oscar $27 147%
State Auto Insurance Fl $37 201%
Phcs $43 - $569 234%
Occunet $46 250%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals