CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Jeff Davis Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $28
Cash Discount Price: $13
vs. Medicare Baseline: 1.52x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Jeff Davis Hospital is $28. 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 1.52x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.

Cash / Self-Pay

$13

Average discount available for prompt cash payment at this facility.

Insurance Median

$28

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: $28 (152%)

Cash: $13 (71% of Medicare)

Ins. Median: $28 (152% 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
Humana	$7 - $31	38%
Medicaid / KanCare	$7 - $24	38%
Peach_State	$7	38%
Wellcare	$7	38%
Blue Cross Blue Shield	$18 - $19	98%
Medicare (plans)	$18 - $19	98%
Care_Improvement_Plus	$19	103%
Coventry_Hmo	$26	141%
Coventry_Pos	$26	141%
Uhc_Hmo	$27	147%
Uhc_Indemnity	$27	147%
Uhc_Ppo	$27	147%
Coventry_Ppo	$28	152%
Beech_Street	$29	158%
Care_Source	$29	158%
Cigna	$29	158%
One_Health_Ppo	$29	158%
Choicecare	$31	169%
Community_Care_Network	$31	169%
Georgia_Hospital_Network	$31	169%
Industry_Buying_Group	$31	169%
Novanet	$31	169%
Principal_Health_Care_Of_Georgia	$31	169%
Three_Rivers_Provider_Network	$31	169%
Usa_Managed_Care	$31	169%
Memorial_Health_Partners	$33	179%
Tricare	$34	185%
Multiplan	$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 Jeff Davis Hospital 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.