CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: HCA Florida South Shore Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $18
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at HCA Florida South Shore Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 0.98x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $35 (190%)
Insurance Median: $18 (98%)
Cash: $35 (190% of Medicare)
Ins. Median: $18 (98% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $3 16%
Evolutions Healthcare Systems $3 - $59 16%
Plotkin Health $3 - $32 16%
Prime Health Sheriff $3 - $32 16%
United $3 - $29 16%
Multiplan $4 - $55 22%
Access 2 Healthcare Physicians Freedom Health $5 27%
Access 2 Healthcare Physicians Optimum $5 27%
Avmed $5 - $16 27%
Freedom Health Care $5 27%
Optimum Healthcare $5 27%
Simply Healthcare $10 - $22 54%
Molina $12 - $17 65%
Sunshine State Health Plan $16 87%
Caresource $17 92%
Humana $17 - $20 92%
Aetna $18 - $19 98%
Devoted Health $18 98%
Ndms Definitive Care $18 98%
United Va Ccn $18 98%
Wellmed $18 98%
American Health Plan $19 103%
Baycare Health Plans $19 103%
Blue Cross Blue Shield $19 103%
Sunshine State $19 103%
Ultimate Health Plan $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%
Secur $20 109%
Careplus $21 114%
Longevity Health Plan $22 120%
Oscar $25 136%
Solis Health Plan $27 147%
Corvel Corporation $151 821%
Rockport Healthcare Group $151 821%
Prime Health $154 837%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4016 Sun City Center Blvd, Sun City Center, FL 33573
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals