CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: HCA Florida Palms West Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $27
  • Cash Discount Price: $201
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at HCA Florida Palms West Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $201. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.47x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.
Cash / Self-Pay
$201

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: $201 (1093%)
Insurance Median: $27 (147%)
Cash: $201 (1093% 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 $17 - $32 92%
Optimum $17 92%
Careplus Sfl $18 98%
Devoted Health $18 98%
Humana $18 - $68 98%
Ndms Definitive Care $18 98%
United $18 - $90 98%
Veterans Evaluation Services $18 98%
Wellmed $18 98%
Aetna $19 - $60 103%
American Health Plan $19 103%
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%
Cigna $20 109%
Doctors Healthcare Plan $20 109%
Florida Complete Care $20 109%
Gold Kidney $21 114%
Amerihealth Caritas $22 - $28 120%
Longevity Health Plan $22 120%
Simply Healthcare $23 125%
Avmed $26 - $100 141%
Simply Healthcare Plans $26 141%
Solis Health Plan $27 147%
Molina $38 - $54 207%
Health Sun Health Plan $43 234%
Aids Healthcare $44 - $241 239%
Mmm Of Fl (Health Advantage Plan) $46 250%
United Ppo $48 261%
Sunshine State Health Plan $52 283%
Health Care District $100 544%
Palm Beach Juvenile Correction $100 544%
Plotkin Health $100 544%
Prime Health Sherriff $100 544%
Medica Healthcare $117 636%
Multiplan $151 - $171 821%
Corvel Corporation $156 848%
Careworks (Rockport) $160 870%
Prime Health $160 870%
Healthy Palm Beaches $550 2991%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13001 Southern Blvd, Loxahatchee, FL 33470
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals