CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Henrico Doctors' Hospital

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $19
Cash Discount Price: $636
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Henrico Doctors' Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $636. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.03x the Medicare baseline. Located in 1602 Skipwith Road, Richmond, VA.

Cash / Self-Pay

$636

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: $636 (3458%)

Insurance Median: $19 (103%)

Cash: $636 (3458% 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.

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
Triatlantic	$16	87%
Health Net	$17	92%
Devoted	$18	98%
Humana	$18	98%
Johns Hopkins	$18 - $19	98%
Sentara Health	$18	98%
United	$18 - $286	98%
United Behavioral Health	$18	98%
UnitedHealthcare	$18 - $19	98%
Aetna	$19	103%
Cigna	$19 - $83	103%
Clear Spring Health Plan	$19	103%
Davita Village Health	$19	103%
Evernorth Behavioral Health	$19	103%
Virginia Premier Health	$19	103%
Align Senior Care	$20	109%
Pyramid Life	$20	109%
Bright Health	$39	212%
Oscar	$46	250%
Blue Cross Blue Shield	$78 - $107	424%
Lifeworks	$121	658%
Universal Healthcare Group	$140	761%
Virginia Health Network	$223 - $413	1213%
Greenvbrier Sporting Club	$382	2077%
Corvel	$458	2490%
Occunet Workers Comp	$509	2768%
4Most Health Nework	$572	3110%
Multiplan	$572	3110%

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 $636.
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 Henrico Doctors' Hospital 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.