CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Jefferson Healthcare

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84153
Insurance Median: $54
Cash Discount Price: $107
vs. Medicare Baseline: 2.94x Medicare

The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Jefferson Healthcare is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 2.94x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$107

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $107 (582%)

Insurance Median: $54 (294%)

Cash: $107 (582% of Medicare)

Ins. Median: $54 (294% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 294% of the Medicare baseline (a markup of 194%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Chpw Mcaid	$40 - $43	218%
Molina Mcaid	$41 - $44	223%
Amerigroup Mcaid-All Plans	$42 - $46	228%
Coord Care Mcaid Ip/Op Only	$43 - $47	234%
Aetna	$45 - $125	245%
Molina Mcr Adv	$45 - $49	245%
Tricare	$45 - $49	245%
Medicare (plans)	$46 - $50	250%
Chpw Mcr Adv	$48 - $53	261%
Molina Marketplace-All Other Plans	$56 - $61	305%
UnitedHealthcare	$72 - $78	392%
Regence-All Other Plans	$96 - $104	522%
Chpw Commercial-All Other Plans	$109 - $118	593%
Premera-All Plans	$109 - $118	593%
Cigna	$115 - $125	625%
Coord Care Cascade Ip/Op Only	$115 - $125	625%
Coord Care Comm/Exchge-All Other Plans	$115 - $125	625%

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 $107.
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 Jefferson Healthcare 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.