CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Ascension Saint Thomas Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $19
  • Cash Discount Price: $76
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Ascension Saint Thomas Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.03x the Medicare baseline. Located in 4220 Harding Rd, Po Box 380, Nashville, TN.
Cash / Self-Pay
$76

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: $76 (413%)
Insurance Median: $19 (103%)
Cash: $76 (413% 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
Community Plan $7 - $17 38%
Blue Cross Blue Shield $13 - $53 71%
Americhoice Mcr Replacement $17 - $18 92%
Amerigroup $17 92%
Medicare (plans) $17 - $19 92%
Point Comfort Underwriters $17 92%
UnitedHealthcare $17 - $18 92%
Ascension Complete $18 98%
Centurion Of Tn $18 98%
Covid Uninsured Test Fund $18 98%
Healthspring Mcr Replacement $18 98%
Humana $18 - $38 98%
Nhc Advantage $18 98%
Tricare $18 98%
Triwest Va Pccc $18 98%
Aetna $19 - $152 103%
Amerigroup Mcr Replacement $19 103%
Select Specialty West $23 125%
Ambetter / Centene $24 131%
Cigna $26 - $71 141%
Oscar Health $26 141%
Oscar Health Plan $26 141%
Smart Health $26 141%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4220 Harding Rd, Po Box 380, Nashville, TN 37205
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals