CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Tennova Healthcare - Newport Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $19
  • Cash Discount Price: $108
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Tennova Healthcare - Newport Medical Center is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.03x the Medicare baseline. Located in 435 2Nd St, Newport, TN.
Cash / Self-Pay
$108

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: $108 (587%)
Insurance Median: $19 (103%)
Cash: $108 (587% 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 - $19 44%
Medicaid / KanCare $9 49%
UnitedHealthcare $9 - $461 49%
Bluecare $15 82%
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 - $287 103%
Blue Cross Blue Shield $19 - $87 103%
Node Healthspring Mcr Adv $19 103%
Node Wellcare Mcr Adv $19 103%
Windsor Health Plan $19 103%
Node Nhc Mcr Adv $20 109%
Us Department Of Labor $23 125%
Novanet Work Comp Tn $27 147%
Cigna $28 152%
Tn Work Comp $28 152%
Ambetter / Centene $34 185%
Point Comfort Underwriters $40 218%
Self Pay $108 587%
Multiplan $360 1958%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 435 2Nd St, Newport, TN 37821
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals