CMS Price Transparency Data

Blood test, potassium

Facility: Flowers Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $8
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Flowers Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.68x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $24 (504%)
Insurance Median: $8 (168%)
Cash: $24 (504% of Medicare)
Ins. Median: $8 (168% 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
Alabama Rehab $3 63%
Medicaid / KanCare $3 63%
Bc Pml $4 84%
Node Champva $4 84%
Tricare $4 84%
UnitedHealthcare $4 - $5 84%
Aetna $5 - $77 105%
Blue Cross Blue Shield $5 - $7 105%
Care Improvement Plus $5 105%
Cigna $5 - $8 105%
Compassionate Hands $5 105%
Covenant Hospice $5 105%
Dayspring Hospice $5 105%
Eon Health Care $5 105%
Humana $5 105%
Medicare (plans) $5 105%
Node Clover Health Mcr Adv $5 105%
Node Devoted Health Mcr Adv $5 105%
Node Hospice Non Par $5 105%
Node Va $5 105%
Node Viva Mcr Adv $5 105%
Node Wellcare Mcr Adv $5 105%
Occunet $5 105%
Prime Health $5 - $75 105%
Select Health $5 105%
Southern Care Hospice $5 105%
Veterans Eval Services $5 105%
Vistacare Hospice $5 105%
Wiregrass Hospice $5 105%
Node Us Dept Of Labor $6 126%
Ambetter / Centene $7 147%
Self Pay $16 - $32 336%
S & S Healthcare $26 546%
Choicecare Commercial $37 777%
American Employee Alliance $42 882%
Coventry Healthcare $53 - $81 1113%
Viva Health $64 1345%
Multiplan $69 - $85 1450%
Standard Textile $74 1555%
Alamed Wc $75 1576%
Health Choice $77 1618%
Equian $80 - $84 1681%
Qhp $80 1681%
Novanet $85 1786%
Alabama Work Comp $88 1849%
Ccn/Mednet Ppo $90 1891%
Corvel $90 1891%
Industry Buying Group $90 1891%
Galaxy Health $95 1996%
Health Payors Org $95 1996%
National Provider Net $95 1996%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals