CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Fishermen's Community Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $34
  • Cash Discount Price: $117
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Fishermen's Community Hospital is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.85x the Medicare baseline. Located in 3301 Overseas Hwy, Marathon, FL.
Cash / Self-Pay
$117

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

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: $117 (636%)
Insurance Median: $34 (185%)
Cash: $117 (636% of Medicare)
Ins. Median: $34 (185% 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
Amerigroup $6 33%
Blue Cross Blue Shield $6 - $482 33%
Medicaid / KanCare $6 - $7 33%
Sunshine State $6 33%
UnitedHealthcare $6 - $482 33%
Wellcare $6 33%
Aetna $7 - $369 38%
Leon Medical $7 - $101 38%
Medica Health Plan $7 - $101 38%
Medicare (plans) $7 - $137 38%
Vista $7 38%
Avmed $8 - $399 44%
Cigna $8 - $386 44%
Humana $8 - $110 44%
Non Contracted $12 - $177 65%
International $22 - $313 120%
Amerihealth $26 - $362 141%
Dimension Health Plan $26 - $434 141%
Affordable $31 - $434 169%
Phcs $31 - $434 169%
Quality Health $31 - $434 169%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Overseas Hwy, Marathon, FL 33050
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals