CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Maury Regional Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $19
  • Cash Discount Price: $80
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Maury Regional Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.03x the Medicare baseline. Located in 1224 Trotwood Ave, Columbia, TN.
Cash / Self-Pay
$80

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: $80 (435%)
Insurance Median: $19 (103%)
Cash: $80 (435% 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
UnitedHealthcare $10 - $19 54%
Wellpoint $10 - $18 54%
Blue Cross Blue Shield $13 - $77 71%
Humana $17 - $18 92%
Wellpoint Tci $17 92%
American Health Plans $18 - $19 98%
Cigna $18 - $163 98%
Farm Bureau Health Plans $18 98%
Medicare (plans) $18 98%
Aetna $19 - $154 103%
Nhc $19 103%
Wellcare Harmony Health $19 103%
Medrisk $28 152%
State Of Tennessee $28 152%
Ambetter / Centene $32 - $46 174%
Oscar $47 256%
Wayne County Jail $86 468%
Lawrence County Jail $128 696%
Lewis County Jail $128 696%
Marshall County Jail $128 696%
Beech Street $137 745%
Multiplan $137 745%
Phcs $137 745%
Firsthealth $164 892%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1224 Trotwood Ave, Columbia, TN 38401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals