CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Neshoba County General Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $30
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Neshoba County General Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.63x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $35 (190%)
Insurance Median: $30 (163%)
Cash: $35 (190% of Medicare)
Ins. Median: $30 (163% 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
Magnolia Mcaid $17 92%
Molina Mcaid $17 92%
Mpcn Mcaid $17 92%
Tricare $17 92%
UnitedHealthcare $17 - $28 92%
Humana $18 98%
Magnolia Mcr Adv-All Other Plans $18 98%
Molina Comm-All Other Plans $18 98%
Molina Mcr Adv $18 98%
Wellcare Mcr Adv-All Plans $18 98%
Aetna $23 - $28 125%
First Choice Comm Ip/Op Only - All Plans $23 125%
Cigna $30 - $36 163%
Ahs Ip/Op Only-All Plans $34 - $41 185%
Blue Cross Blue Shield $37 - $44 201%
Affordable Health Care-All Plans $39 - $47 212%
Health Choice Ip/Op Only-All Plans $39 - $47 212%
Health Link Ip/Op Only-All Plans $39 - $47 212%
Geha-All Plans $41 - $50 223%
Multiplan-All Plans $41 - $50 223%
Mpcn Ip/Op Only-All Other Plans $58 - $69 315%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL