CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Tristar Hendersonville Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $20
Cash Discount Price: $1,238
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Tristar Hendersonville Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,238. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.09x the Medicare baseline. Located in 355 New Shackle Island Rd, Hendersonville, TN.

Cash / Self-Pay

$1,238

Average discount available for prompt cash payment at this facility.

Insurance Median

$20

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: $1,238 (6732%)

Insurance Median: $20 (109%)

Cash: $1,238 (6732% of Medicare)

Ins. Median: $20 (109% 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
Wellpoint	$8	44%
Aetna	$15 - $619	82%
Amerigroup	$18	98%
Bright Health	$18 - $21	98%
Devoted Health Plan	$18	98%
Healthspring	$18	98%
Humana	$18 - $310	98%
Sarah Cannon Research	$18	98%
United	$18 - $557	98%
Ambetter / Centene	$19 - $20	103%
American Health Advantage	$19	103%
Blue Cross Blue Shield	$19 - $39	103%
Evergreen Hmo	$19	103%
Signature Advantage	$19	103%
Wellcare	$19	103%
Zing	$19	103%
Atrio Golden Times	$20	109%
Prime Health	$26	141%
Corvel Corporation	$27	147%
Novanet	$27	147%
Cigna	$33 - $416	179%
Oscar	$55	299%
Kentucky Labor Cabinet	$228	1240%
Apex Health	$235	1278%
Nhc Advantage, Inc.	$235	1278%
Pruitt Health (Allyalign)	$235	1278%
Bgfh Singlesource	$619 - $1,052	3366%
Employers Health Network	$867	4715%
Odom'S Tn Pride Sausage	$929	5052%
Multiplan	$1,015	5519%
Beech Street	$1,139	6194%

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 $1,238.
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 Tristar Hendersonville 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.