CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Oviedo Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $19
  • Cash Discount Price: $69
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Oviedo Medical Center is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.03x the Medicare baseline. Located in 8300 Red Bug Lake Rd, Oviedo, FL.
Cash / Self-Pay
$69

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: $69 (375%)
Insurance Median: $19 (103%)
Cash: $69 (375% 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.

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 $3 - $12 16%
Optimum $3 - $12 16%
Avmed $4 - $81 22%
Simply $7 - $25 38%
Molina Healthcare $9 - $31 49%
Humana $10 - $74 54%
Evolutions $11 - $37 60%
Sunshine State Health Plan $12 - $41 65%
Aetna $14 - $48 76%
Devoted Health $18 98%
Florida Health Care Plan $18 - $61 98%
Ndms Definitive Care $18 98%
United $18 - $73 98%
Wellmed $18 98%
American Health Plan $19 103%
Blue Cross Blue Shield $19 103%
Fl Health Care Plan $19 103%
Sunshine State $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%
Careplus $21 114%
Ultimate Health Plan $21 114%
Longevity Health Plan $22 120%
Oscar $27 147%
Solis Health Plan $27 147%
Simply Healthcare $29 158%
Prime Health $152 827%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8300 Red Bug Lake Rd, Oviedo, FL 32765
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals