CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: HCA Florida Putnam Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $19
Cash Discount Price: $13
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at HCA Florida Putnam Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.03x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.

Cash / Self-Pay

$13

Average discount available for prompt cash payment at this facility.

Insurance Median

$19

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: $13 (71%)

Insurance Median: $19 (103%)

Cash: $13 (71% of Medicare)

Ins. Median: $19 (103% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Humana	$2 - $44	11%
Molina Healthcare	$2 - $82	11%
Multiplan	$2 - $218	11%
Simply	$2 - $39	11%
Evolutions	$3 - $59	16%
Sunshine State Health Plan	$3 - $65	16%
Aetna	$4 - $77	22%
United	$4 - $115	22%
Avmed	$6 - $128	33%
Plotkin Health	$6 - $128	33%
Prime Health Sheriff	$6 - $128	33%
Ndms Definitive Care	$18	98%
Wellmed	$18	98%
American Health Plan	$19	103%
Blue Cross Blue Shield	$19	103%
Fl Health Care Plan	$19	103%
Sunshine State	$19	103%
Wellcare	$19	103%
Align Senior Care	$20	109%
Centurion	$20	109%
Cigna	$20	109%
Clear Spring Health	$20	109%
Florida Complete Care	$20	109%
Gold Kidney Of Florida	$20	109%
Putnam County Sheriffs	$20	109%
Ultimate Health Plan	$21	114%
Longevity Health Plan	$22	120%
Oscar	$22	120%
Simply Healthcare	$23	125%
Corvel Corporation	$140	761%
Prime Health	$143	778%
Careworks (Rockport Community)	$147	799%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $13.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84153.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Putnam Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84153.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.