CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Erlanger Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $25
Cash Discount Price: $155
vs. Medicare Baseline: 1.36x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Erlanger Medical Center is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.36x the Medicare baseline. Located in 975 E 3Rd St, Chattanooga, TN.

Cash / Self-Pay

$155

Average discount available for prompt cash payment at this facility.

Insurance Median

$25

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: $155 (843%)

Insurance Median: $25 (136%)

Cash: $155 (843% of Medicare)

Ins. Median: $25 (136% 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
Amerigroup	$8 - $33	44%
UnitedHealthcare	$8 - $27	44%
Blue Cross Blue Shield	$14 - $402	76%
Bluecard - Network P	$14 - $51	76%
Bluecard - Network S	$14 - $51	76%
Bluecare	$17 - $38	92%
Alexian	$18 - $54	98%
Caresource	$18 - $37	98%
Cigna	$18 - $226	98%
Clover	$18	98%
Humana	$18 - $34	98%
Upmc	$18	98%
Aetna	$19 - $246	103%
American Health	$19	103%
Devoted Health	$19 - $42	103%
Nhc	$19	103%
Wellpoint	$19	103%
Atrio Health	$20 - $50	109%
Ambetter / Centene	$23	125%
Caresource Ga	$27 - $48	147%
Caresource Nc	$27 - $48	147%
Caresource Tn	$27 - $48	147%
Point Comfort Underwriters	$34 - $50	185%
Pruitthealth Premier	$39 - $58	212%
Pnoa	$46	250%
Olympus	$277 - $377	1506%
Alliant	$377	2050%
First Health	$402 - $428	2186%

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 $155.
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 Erlanger Medical Center 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.