CMS Price Transparency Data
Blood test, PSA (prostate screen)
Facility: Palmetto General Hospital
Billing Code: 84153 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84153
- Insurance Median: $24
- Cash Discount Price: $155
- vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Palmetto General Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.31x the Medicare baseline. Located in 2001 W 68Th St, Hialeah, FL.
Cash / Self-Pay
$155
Average discount available for prompt cash payment at this facility.
Insurance Median
$24
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: $155 (843%)
Insurance Median: $24 (131%)
Cash: $155 (843% of Medicare)
Ins. Median: $24 (131% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Humana | $6 - $102 | 33% |
| Medicaid / KanCare | $6 - $251 | 33% |
| UnitedHealthcare | $6 - $18 | 33% |
| Aetna | $8 - $178 | 44% |
| Bc/Bs Myblue Hmo Hix | $9 - $36 | 49% |
| Bc/Bs Of Fl Blue Select Exchange Non Par | $9 - $38 | 49% |
| Bc/Bs Of Fl Health Options Hmo | $9 - $38 | 49% |
| Bc/Bs Of Fl Network Blue | $9 - $36 | 49% |
| Bc/Bs Of Fl Ppo | $9 - $38 | 49% |
| Bc/Bs Of Fl Simplyblue | $9 - $36 | 49% |
| Cigna | $9 - $125 | 49% |
| Bc/Bs Of Fl Miami Dade Blue Select | $12 - $51 | 65% |
| Veterans Administration Mill Bill | $13 | 71% |
| Avmed Broad Network | $16 | 87% |
| Medicare (plans) | $16 - $251 | 87% |
| Bristol Hospice- Miami Dade Llc | $18 | 98% |
| Catholic Hospice | $18 | 98% |
| Compassionate Care Hospice Of Miami Dade And The Fl Keys Inc | $18 | 98% |
| Devoted Health | $18 | 98% |
| Employer Direct Healthcare | $18 - $23 | 98% |
| Hospice Other | $18 | 98% |
| Ima Evalutations Inc | $18 | 98% |
| Leon Health Inc | $18 | 98% |
| Odyssey Healthcare Of Marion County Dba Kindred Hospice | $18 | 98% |
| Opuscare Of South Fl | $18 | 98% |
| Seasons Hospice And Pallative Care Of Southern Florida Inc | $18 | 98% |
| Select Specialty Hospital | $18 | 98% |
| Tricare | $18 | 98% |
| Veterans Administration Vaccn | $18 | 98% |
| Vitas Healthcare Hospice | $18 | 98% |
| Westchester General Hospital | $18 | 98% |
| Healthsun Health Plans | $19 | 103% |
| Longevity Health Plan | $19 | 103% |
| Dimension Health Wc | $21 | 114% |
| Workers Compensation | $21 | 114% |
| Bright Health Management Commercial | $22 | 120% |
| Florida Pace Centers | $22 | 120% |
| Imagine Health | $22 | 120% |
| Oscar Health Plan Hix | $22 | 120% |
| Self Pay/Uninsured | $23 | 125% |
| Naphcare Inc | $25 | 136% |
| Bc/Bs Of Fl Phs | $30 - $126 | 163% |
| Liga Contra El Cancer | $30 - $125 | 163% |
| Avmed Exchange | $32 | 174% |
| Ambetter / Centene | $34 | 185% |
| Molina Marketplace Program Exchange | $35 | 190% |
| Magellan Behavioral Health | $36 - $150 | 196% |
| Auto Insurance | $37 | 201% |
| Avmed Select Network | $37 | 201% |
| Dimensions International | $39 - $163 | 212% |
| Amerihealth Caritas Next Exchange | $40 | 218% |
| First Health | $40 - $168 | 218% |
| Dimension Health Ppo | $45 - $188 | 245% |
| Beacon Health Strategies Commercial | $60 - $251 | 326% |
| Commercial Non-Contracted | $60 - $251 | 326% |
| Self Pay - Mcd Pending 100 Percent | $60 - $251 | 326% |
| Single Case Agreement | $60 - $251 | 326% |
| United Behavioral Health Psych | $60 - $251 | 326% |