CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Novant Health Brunswick Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $182
Cash Discount Price: $145
vs. Medicare Baseline: 9.90x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Novant Health Brunswick Medical Center is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $145. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 9.90x the Medicare baseline. Located in 1 Medical Center Dr Po Box 139, Supply, NC.

Cash / Self-Pay

$145

Average discount available for prompt cash payment at this facility.

Insurance Median

$182

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: $145 (788%)

Insurance Median: $182 (990%)

Cash: $145 (788% of Medicare)

Ins. Median: $182 (990% 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 990% of the Medicare baseline (a markup of 890%). 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
Aetna	$20 - $249	109%
Blue Cross Blue Shield	$20 - $211	109%
Cigna	$20 - $163	109%
Humana	$20 - $252	109%
New Hanover Health Advantage	$20	109%
Pace Of The Southern Piedmont	$20	109%
UnitedHealthcare	$20 - $180	109%
Liberty Health	$21	114%
Nc Department Of Public Safety	$39 - $41	212%
Amerihealth	$41 - $42	223%
Carolina Complete	$41	223%
Wellcare	$41 - $42	223%
Ambetter / Centene	$44	239%
Caresource North Carolina	$115 - $117	625%
Atlantic Corporation Dba Atlantic Packaging	$156 - $158	848%
Amps	$158 - $161	859%
Plotkin Health	$173 - $176	941%
Medcost	$217 - $246	1180%
Transformhealth	$230 - $234	1251%
Multiplan	$259 - $264	1408%
Phcs	$259 - $264	1408%
Employers Choice Network	$279 - $284	1517%
Three Rivers Provider Network	$279 - $284	1517%

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 $145.
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 Novant Health Brunswick 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.