CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Tristar Ashland City Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $20
Cash Discount Price: $2,362
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Tristar Ashland City Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,362. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.09x the Medicare baseline. Located in 313 North Main St, Ashland City, TN.

Cash / Self-Pay

$2,362

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: $2,362 (12844%)

Insurance Median: $20 (109%)

Cash: $2,362 (12844% 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%
Blue Cross Blue Shield	$13 - $2,000	71%
Aetna	$15 - $1,181	82%
Bright Health	$18 - $22	98%
Humana	$18 - $590	98%
Sarah Cannon Research	$18	98%
United	$18 - $1,063	98%
Ambetter / Centene	$19 - $20	103%
American Health Advantage	$19	103%
Devoted Health Plan	$19	103%
Evergreen Hmo	$19	103%
Healthspring	$19	103%
Wellcare	$19	103%
Zing	$19	103%
Atrio Golden Times	$20	109%
Signature Advantage	$20	109%
Prime Health	$26	141%
Corvel Corporation	$27	147%
Novanet	$27	147%
Cigna	$33 - $737	179%
Oscar	$55	299%
Kentucky Labor Cabinet	$435	2365%
Apex Health	$449	2442%
Nhc Advantage, Inc.	$449	2442%
Pruitt Health (Allyalign)	$449	2442%
Amerigroup	$732	3980%
Bgfh Singlesource	$1,181 - $2,008	6422%
Multiplan	$1,299	7064%
Southern Health Partners	$1,417	7705%
Employers Health Network	$1,653	8989%
Odom'S Tn Pride Sausage	$1,772	9636%
Beech Street	$2,173	11816%

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 $2,362.
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 Ashland City 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.