CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Tennova Healthcare-Jefferson Memorial Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $19
  • Cash Discount Price: $102
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Tennova Healthcare-Jefferson Memorial Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.03x the Medicare baseline. Located in 110 Hospital Drive, Jefferson City, TN.
Cash / Self-Pay
$102

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: $102 (555%)
Insurance Median: $19 (103%)
Cash: $102 (555% 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
Amerigroup $8 44%
Medicaid / KanCare $9 49%
UnitedHealthcare $9 - $461 49%
Bluecare $13 - $15 71%
Node Champva $17 92%
Tricare $17 92%
Humana $18 98%
Medicare (plans) $18 98%
Node Bluecare Plus Tn Mcr Adv $18 98%
Node Devoted Health Mcr Adv $18 98%
Node Farm Bureau Mcr Adv $18 98%
Node Hospice Non Par Agree $18 98%
Node Va $18 98%
Veterans Eval Services $18 98%
Aetna $19 - $296 103%
Blue Cross Blue Shield $19 - $94 103%
Node Amerigroup Mcr Adv $19 103%
Node Healthspring Mcr Adv $19 103%
Node Wellcare Mcr Adv $19 103%
Node Nhc Mcr Adv $20 109%
Three Rivers Work Comp Tn $22 120%
Node Us Dept Of Labor $23 125%
Novanet Work Comp Tn $27 147%
Cigna $28 152%
Occunet Work Comp Tn $28 152%
Tn Work Comp $28 152%
Ambetter / Centene $34 185%
Point Comfort Underwriters $40 218%
Self Pay $102 555%
Multiplan Complementary $365 1985%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 110 Hospital Drive, Jefferson City, TN 37760
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals