CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Blount Memorial Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $34
Cash Discount Price: $68
vs. Medicare Baseline: 1.85x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Blount Memorial Hospital is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.85x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$68

Average discount available for prompt cash payment at this facility.

Insurance Median

$34

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: $68 (370%)

Insurance Median: $34 (185%)

Cash: $68 (370% of Medicare)

Ins. Median: $34 (185% 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
Medicaid / KanCare	$7 - $24	38%
Golden Rule Insurance Company [2991]	$11	60%
Oxford Health Plans [2992]	$11	60%
UnitedHealthcare	$11 - $23	60%
Cigna	$15 - $24	82%
Mvp Health Care [3037]	$15	82%
Tricare	$16	87%
Blue Cross Blue Shield	$18 - $94	98%
Humana	$18	98%
Medicare (plans)	$18 - $19	98%
Ambetter / Centene	$28	152%
Consociate Health Contracted [4835]	$40	218%
Fairos/Occunet Contracted [4837]	$42	228%
Prisma Health Seniorcare Pace - Midlands [5400]	$51	277%
Prisma Health Seniorcare Pace-Upstate [5200]	$51	277%
Promise Health Plan Contracted [2401]	$77 - $131	419%
Orangeburg Senior Helping Center Pace [5401]	$88	479%
Bob Jones Univ-Pai [821]	$131	712%
Preferred Administrators Contracted [2839]	$153	832%
Medcost [2940]	$162 - $182	881%
Atlantic Packaging Contracted [4833]	$164	892%
Aps Healthcare System [2981]	$175	952%
Multiplan/Phcs Contracted [2950]	$195	1060%
Aetna	$197	1071%
Meritain Health Contracted [2200]	$197	1071%
Nippon [2300]	$197	1071%
Vsp Vision Care [2986]	$197	1071%
First Health Contracted [2952]	$204	1109%
Furman Int/Allen University Student [2951]	$204	1109%
Quiktrip-First Health [3067]	$204	1109%

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 $68.
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 Blount Memorial 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.