CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: University of Mississippi Med Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $37
Cash Discount Price: $68
vs. Medicare Baseline: 2.01x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at University of Mississippi Med Center is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 2.01x the Medicare baseline. Located in 2500 N State St, Jackson, MS.

Cash / Self-Pay

$68

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $68 (370%)

Insurance Median: $37 (201%)

Cash: $68 (370% of Medicare)

Ins. Median: $37 (201% 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 201% of the Medicare baseline (a markup of 101%). 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
Ms-Can-Magnolia	$17	92%
Ms-Can-Molina	$17	92%
Ms-Can-Truecare	$17	92%
Medicare (plans)	$18	98%
Va_Ccn	$18	98%
Humana	$19	103%
Medadv_Primewell	$19	103%
Medadv_Uhc	$19	103%
Medadv_Uhcdsnp	$19	103%
Wellcare	$19	103%
Advhealth	$23	125%
Blue Cross Blue Shield	$23	125%
United	$31	169%
United-Options	$31	169%
Molina-Chip	$36	196%
Magnolia-Chip	$37	201%
Truecare-Chip	$37	201%
Molina_Exchange	$40	218%
Mpcn	$42	228%
Ambetter / Centene	$46	250%
Firstchoice	$46	250%
Firstchoice-Hum	$46	250%
Primewell	$52	283%
Cigna	$99	538%
Ppoplus	$133	723%
Firsthealth	$137	745%
Multiplan	$137	745%
Aetna	$145	788%
Healthlink_Tupelo	$145	788%
Phcs	$154	837%

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 $68.
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 University of Mississippi Med 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.