CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Bertrand Chaffee Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $18
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Bertrand Chaffee Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 0.98x the Medicare baseline. Located in 224 East Main Street, Springville, NY.
Cash / Self-Pay
$28

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $28 (152%)
Insurance Median: $18 (98%)
Cash: $28 (152% of Medicare)
Ins. Median: $18 (98% 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
Blue Cross Blue Shield $12 65%
Senior Blue - Bc $12 65%
Iha Encompass 65 $16 - $19 87%
Iha Essential Plans $16 87%
Iha Medisource $16 87%
Univera Essential Plans $16 87%
Univera Hc Child Health+ $16 87%
Univera Hc Myhealth+ $16 - $18 87%
Univera Plus Med $16 87%
Univera Healthcare $17 - $21 92%
Advantra-Mcr Advantage $18 98%
Aetna $18 - $33 98%
Centers Plan Hlty Living $18 98%
Champva $18 98%
Cigna $18 - $33 98%
Comm Blue Essential $18 98%
Community Blue $18 98%
Community Care - Bc $18 98%
Ctrs Plan For Hlthy Livng $18 98%
Fidelis Care Of New York $18 98%
Fidelis Essential Plans $18 98%
Geisinger Health Plan $18 98%
Ghi Medical $18 98%
Gowanda Correctional Fac $18 98%
Humana $18 98%
Lifetime Benefits $18 98%
Medicaid / KanCare $18 98%
Medicare (plans) $18 98%
Molina Essential Plan $18 98%
Molina Heathcare Of Wny $18 98%
Mutual Of Omaha $18 98%
Nova Healthcare $18 98%
Optimum Healthcare - Mcr $18 98%
Seneca Nation Health Dept $18 98%
Todays Option - Amer Prog $18 98%
Tricare $18 98%
United Hc - Community Pln $18 98%
United Hc Essential Plan $18 98%
United Hc Mcr Solutions $18 98%
UnitedHealthcare $18 98%
Univera Hc Myhealth $18 98%
Univera Senior Choice $18 98%
Wellcare $18 98%
Yourcare $18 98%
Iha $19 103%
Iha Custom Coverage $19 103%
Private Pay $28 152%
American Progressive Ins. $33 179%
Commercial / Misc $33 179%
Global Excel Mgt $33 179%
Guardian Life Ins. Co. $33 179%
Mvp Commercial $33 179%
No Amer Meritian Health $33 179%
No-Fault $33 179%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 224 East Main Street, Springville, NY 14141
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals