CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: HCA Florida Memorial Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $27
  • Cash Discount Price: $535
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at HCA Florida Memorial Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $535. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.47x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.
Cash / Self-Pay
$535

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $535 (2909%)
Insurance Median: $27 (147%)
Cash: $535 (2909% of Medicare)
Ins. Median: $27 (147% 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 Community $15 82%
Hospice Haven $17 92%
Humana $17 - $155 92%
Aetna $18 - $160 98%
Careplus $18 98%
Devoted Health $18 98%
Ndms Definitive Care $18 98%
United $18 - $241 98%
United Behavioral Health $18 98%
Veterans Evaluation Services $18 98%
Wellmed $18 98%
American Health Plan $19 103%
Blue Cross Blue Shield $19 103%
Sunshine State $19 103%
Wellcare $19 103%
Cigna $20 109%
Florida Complete Care $20 109%
Gold Kidney $20 109%
Longevity $22 120%
Simply Healthcare $23 - $82 125%
Oscar $27 147%
Optimum Healthcare $45 245%
Avmed $64 - $150 348%
Positive Healthcare $118 642%
Sunshine State Health Plan $136 740%
Molina Healthcare $144 783%
Centurion $148 805%
City Of Jacksonville $149 810%
Corvel Corporation $149 810%
Prime Health $152 827%
Corizon $160 870%
Plotkin Health $268 1457%
Multiplan $417 - $455 2268%
Evernorth $428 2327%
Evolutions Healthcare $428 - $455 2327%
Ppo Next $455 2474%
Novanet $482 2621%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3625 University Blvd S, Jacksonville, FL 32216
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals