CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Jamaica Hospital Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $19
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Jamaica Hospital Medical Center is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.03x the Medicare baseline. Located in 89Th Avenue and Van Wyck Expressway, Jamaica, NY.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $50 (272%)
Insurance Median: $19 (103%)
Cash: $50 (272% of Medicare)
Ins. Median: $19 (103% 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
Ghi $10 - $18 54%
Healthfirst $16 87%
Elderplan $17 92%
Fidelis $17 - $18 92%
Aetna $18 98%
Beacon Health Strategies $18 98%
Centerlight Healthcare $18 98%
Empire $18 - $42 98%
Hip $18 - $27 98%
Metroplus $18 - $20 98%
Oscar $18 98%
UnitedHealthcare $18 - $26 98%
Villagecaremax $18 98%
Humana $19 103%
Senior Whole Health $19 103%
Vns $19 103%
Wellcare Of Ny $19 103%
Centers Plan For Healthy Living $20 109%
Hamaspik Choice $21 114%
Magnacare $21 114%
Centivo $23 125%
World Trade Center Program $24 131%
1999 National Benefit Fund $26 141%
Emblemhealth $30 163%
Cigna $33 179%
Empire Blue Priority $35 190%
Hotel Trades Council $1,912 10397%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 89Th Avenue and Van Wyck Expressway, Jamaica, NY 11418
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals