CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Ascension St Vincent's Southside

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 Ascension St Vincent's Southside 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 4201 Belfort Rd, Jacksonville, 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
Cigna	$2 - $19	11%
Occunet	$6 - $41	33%
Aetna	$16 - $38	87%
Bc Advantage Mcr Replacement	$18	98%
Blue Cross Blue Shield	$18	98%
Community Hospice	$18	98%
Coventry Mcr Replacement Hmo	$18	98%
Haven Hospice	$18	98%
Humana	$18 - $46	98%
Medicare (plans)	$18 - $19	98%
Pace Place	$18	98%
Research Study Encore Borland-Groover	$18	98%
UnitedHealthcare	$18 - $19	98%
Veterans Administration	$18	98%
Wellcare	$18	98%
Careplus Mcr Replacement	$19	103%
Bright Health	$25 - $27	136%
Smarthealth	$26	141%
Oscar Health Plan	$29	158%
Employer Direct Healthcare	$32	174%
90 Degree Benefits	$33	179%
Avmed Exchange	$33	179%
Molina Exchange	$34	185%
Ambetter / Centene	$35	190%

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 Ascension St Vincent's Southside 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.