CMS Price Transparency Data

Blood test, potassium

Facility: Gadsden Regional Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $161
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Gadsden Regional Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 1007 Goodyear Avenue, Gadsden, AL.
Cash / Self-Pay
$161

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.76 (100%)
Cash / Self-Pay: $161 (3382%)
Insurance Median: $5 (105%)
Cash: $161 (3382% of Medicare)
Ins. Median: $5 (105% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.76 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
Medicaid / KanCare $3 63%
Bc Pml $4 84%
Node Champva $4 84%
Tricare $4 84%
UnitedHealthcare $4 - $5 84%
Aetna $5 - $555 105%
Amedisys Hospice $5 105%
Blue Cross Blue Shield $5 105%
Cigna $5 - $30 105%
Gadsden Hospice $5 105%
Humana $5 105%
Medicare (plans) $5 105%
Node Clover Health Mcr Adv $5 105%
Node Devoted Health Mcr Adv $5 105%
Node Eon Mcr Adv $5 105%
Node Non Par Hospice Agree $5 105%
Node Select Health Mcr Adv $5 105%
Node Va $5 105%
Node Viva Mcr Adv $5 105%
Node Wellcare Mcr Adv $5 105%
Prime Health $5 - $775 105%
Southern Care Hospice $5 105%
Veterans Eval Services $5 105%
Node Us Dept Of Labor $6 126%
Ambetter / Centene $7 147%
Self Pay $129 - $193 2710%
American Employee Alliance $429 9013%
Multiplan $600 - $675 12605%
Magellan Behavioral $643 13508%
Viva Healthcare $643 13508%
First Health $750 - $866 15756%
Beech Street $783 - $1,525 16450%
Alamed Wc $804 16891%
Focus Health $820 17227%
Coventry Work Comp Al $838 17605%
Work Comp $911 19139%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Goodyear Avenue, Gadsden, AL 35903
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals