CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Memorial Hospital West

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $18
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Memorial Hospital West is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 0.98x the Medicare baseline. Located in 703 N Flamingo Rd, Pembroke Pines, FL.
Cash / Self-Pay
$19

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: $19 (103%)
Insurance Median: $18 (98%)
Cash: $19 (103% 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
Aetna $2 - $574 11%
Avmed $2 - $444 11%
Cigna $2 - $398 11%
Sunshine $2 - $606 11%
UnitedHealthcare $2 - $577 11%
Allianz $3 - $938 16%
Axis $3 - $938 16%
Desjardins Financial Security Life Assurance Company $3 - $938 16%
Dimension Health $3 - $974 16%
Emerging Therapy Solutions $3 - $866 16%
Employers Health Network $3 - $462 16%
Global Health Claims $3 - $1,227 16%
Global Medical Management $3 - $938 16%
Global Reach Health $3 - $938 16%
Health Value Management $3 - $505 16%
National Healthcare Solutions $3 - $938 16%
Plotkin $3 - $938 16%
Quality Health Management $3 - $938 16%
Quebec Inc $3 - $938 16%
Star Healthcare Network $3 - $938 16%
World Medical Care $3 - $938 16%
Worldwide Managed Care Partners $3 - $938 16%
Worldwide Medical Assurance $3 - $938 16%
Amerihealth Caritas $4 - $231 22%
Gallagher Bassett $4 - $1,154 22%
Health Sun $4 - $1,082 22%
Community Care Plan $5 - $245 27%
Molina $5 - $260 27%
Wellcare $19 - $20 103%
Florida Community Care $20 109%
Humana $20 109%
Florida Pace Centers $21 114%
Solis Health Plan $21 114%
Align Senior Care $22 120%
Longevity $23 125%
Prime Health Services $77 419%
Corvel $164 892%
Employers Choice Network $164 892%
First Health $164 892%
Broward County $718 - $2,726 3904%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 703 N Flamingo Rd, Pembroke Pines, FL 33028
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals