CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Atrium Health Floyd Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $112
Cash Discount Price: $206
vs. Medicare Baseline: 6.09x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Atrium Health Floyd Medical Center is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $206. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 6.09x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$206

Average discount available for prompt cash payment at this facility.

Insurance Median

$112

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: $206 (1120%)

Insurance Median: $112 (609%)

Cash: $206 (1120% of Medicare)

Ins. Median: $112 (609% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 609% of the Medicare baseline (a markup of 509%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$18 - $308	98%
Caresource	$18 - $70	98%
Cigna	$18 - $247	98%
Georgia Assurance	$18	98%
Humana	$18 - $267	98%
Occunet	$18	98%
UnitedHealthcare	$18 - $308	98%
Aetna	$19 - $279	103%
Clover	$19	103%
Wellcare	$19	103%
Peach State Health Plan	$23	125%
Alliant Health Plans	$28 - $164	152%
Ambetter / Centene	$28	152%
Amerigroup	$70	381%
Awc Networks	$80	435%
Oscar Health Plan	$80 - $144	435%
Beacon	$206	1120%
Evernorth	$206	1120%
Multiplan	$288	1566%
Beech Street	$321	1746%
Private Health Care Systems	$349	1898%

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 $206.
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 Atrium Health Floyd Medical Center 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.