CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: HCA Florida Kendall Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $27
  • Cash Discount Price: $156
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at HCA Florida Kendall Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $156. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.47x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.
Cash / Self-Pay
$156

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: $156 (848%)
Insurance Median: $27 (147%)
Cash: $156 (848% 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
Freedom Health $13 - $25 71%
Optimum $13 71%
Careplus Sfl $18 98%
Cigna $18 98%
Devoted Health $18 98%
Humana $18 - $53 98%
Leon Health $18 98%
Ndms Definitive Care $18 98%
United $18 - $70 98%
United Behavioral Health $18 98%
Veterans Evaluation Services $18 98%
Wellmed $18 98%
Aetna $19 - $47 103%
American Health Plan $19 103%
Avmed $19 - $78 103%
Blue Cross Blue Shield $19 103%
Oscar $19 - $26 103%
Prominence Healthfirst $19 103%
Sunshine State $19 - $20 103%
Align $20 109%
Centurion $20 109%
Doctors Healthcare Plan $20 109%
Florida Complete Care $20 109%
Simply Healthcare Plans $20 109%
Gold Kidney $21 114%
Amerihealth Caritas $22 - $28 120%
Longevity Health Plan $22 120%
Simply Healthcare $23 125%
Solis Health Plan $27 147%
Molina $30 - $42 163%
Naphcare $31 169%
Health Sun Health Plan $33 179%
Aids Healthcare $34 - $187 185%
Mmm Of Fl (Health Advantage Plan) $36 196%
United Ppo $37 201%
Seven Corners $39 - $44 212%
Wellpath $39 - $44 212%
Sunshine State Health Plan $41 223%
Plotkin Health $78 424%
Prime Health Sherriff $78 424%
Medica Healthcare $90 489%
Multiplan $117 - $133 636%
Evernorth Bh $125 680%
Corvel Corporation $162 881%
Careworks (Rockport) $166 903%
Prime Health $166 903%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11750 Bird Rd, Miami, FL 33175
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals