Blood test, PSA (prostate screen)
Facility: HCA Florida Englewood Hospital
Billing Code: 84153 (CPT)
- CPT Billing Code: 84153
- Insurance Median: $19
- Cash Discount Price: $98
- vs. Medicare Baseline: 1.03x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Behealthy America | $2 - $74 | 11% |
| Evolutions Healthcare Systems | $3 - $175 | 16% |
| Healthcare Sarasota | $3 - $95 | 16% |
| Plotkin Health | $3 - $95 | 16% |
| Prime Health Sheriff | $3 - $95 | 16% |
| United | $3 - $86 | 16% |
| Multiplan | $4 - $162 | 22% |
| Access 2 Healthcare Physicians Freedom Optimum Group Members | $9 | 49% |
| Access 2 Healthcare Physicians Freedom Health | $14 | 76% |
| Access 2 Healthcare Physicians Optimum | $14 | 76% |
| Avmed | $15 - $48 | 82% |
| Freedom Health Care | $15 | 82% |
| Optimum Healthcare | $15 | 82% |
| Caresource | $17 | 92% |
| Humana | $17 - $53 | 92% |
| Aetna | $18 - $57 | 98% |
| Ndms Definitive Care | $18 | 98% |
| United Va Ccn | $18 | 98% |
| Wellmed | $18 | 98% |
| American Health Plan | $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% |
| Simply Healthcare | $26 - $29 | 141% |
| Oscar | $28 | 152% |
| Molina | $36 - $51 | 196% |
| Sunshine State Health Plan | $48 | 261% |
| Corvel Corporation | $151 | 821% |
| Rockport Healthcare Group | $151 | 821% |
| Prime Health | $154 | 837% |