CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Thomas Jefferson University Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $21
Cash Discount Price: $21
vs. Medicare Baseline: 1.14x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Thomas Jefferson University Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.14x the Medicare baseline. Located in 111 South 11Th Street, Philadelphia, PA.

Cash / Self-Pay

$21

Average discount available for prompt cash payment at this facility.

Insurance Median

$21

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: $21 (114%)

Insurance Median: $21 (114%)

Cash: $21 (114% of Medicare)

Ins. Median: $21 (114% 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.

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
Blue Cross Blue Shield	$13 - $129	71%
Medicare (plans)	$13 - $21	71%
Ibc	$15 - $84	82%
Jefferson Health Plan Aca Qhp Exchange	$17	92%
Innovage	$18	98%
Inspira Life	$18	98%
Keystone First Vip Choice	$18 - $19	98%
Point Of Comfort Refugee Resettlement	$18	98%
St Agnes	$18	98%
Tricare	$18	98%
UnitedHealthcare	$18 - $20	98%
Aetna	$19 - $87	103%
Cigna	$19 - $27	103%
Devoted Health Participation	$19	103%
Humana	$19	103%
Allwell Pa Health_Wellness Ma	$20	109%
Provider Partners Health Plan	$20	109%
Perennial	$21	114%
Highmark Wholecare Gateway	$22	120%
Ibc Employee Benefit	$23	125%
Ibc Main Line Health	$23	125%
Ambetter / Centene	$27	147%
Upmc Commercial	$27	147%
Naphcare	$29 - $35	158%
Pa Health_Wellness Chc	$32	174%
Medicaid / KanCare	$33 - $44	179%
Highmark	$44 - $52	239%
Keystone First	$68	370%
Geisinger Health Plan	$75	408%

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 $21.
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 Thomas Jefferson University Hospital 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.