CMS Price Transparency Data

Blood test, potassium

Facility: Medical Center Enterprise

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $78
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Medical Center Enterprise is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$78

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: $78 (1639%)
Insurance Median: $5 (105%)
Cash: $78 (1639% 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 - $282 105%
Blue Cross Blue Shield $5 - $6 105%
Covenant Hospice $5 105%
Dayspring Hospice $5 105%
Eon Health $5 105%
Healthspring $5 105%
Humana $5 105%
Medicare (plans) $5 105%
Node Clover Mcr Adv $5 105%
Node Devoted Health Mcr Adv $5 105%
Node Hospice Non Par $5 105%
Node Va $5 105%
Node Wellcare Mcr Adv $5 105%
Occunet $5 105%
Select Health $5 105%
Southerncare Hospice $5 105%
Veterans Eval Services $5 105%
Wiregrass Hospice $5 105%
Al Maternity Waiver Program $6 126%
Node Us Dept Of Labor $6 126%
Ambetter / Centene $7 147%
Cigna $8 - $44 168%
Self Pay $36 - $121 756%
American Employee Alliance $161 3382%
Alamed $241 5063%
Affordable Health $282 5924%
Health Choice $282 5924%
Novanet Ppo $282 5924%
Coventry Work Comp Al $296 6218%
Multiplan $298 - $318 6261%
Wc Dept Ind Relations $322 6765%
Corvel $342 7185%
Galaxy Health $362 7605%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals