CMS Price Transparency Data

Blood test, potassium

Facility: Baldwin Health

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $7
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Baldwin Health is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.47x the Medicare baseline. Located in 1613 North McKenzie Street, Foley, AL.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $68 (1429%)
Insurance Median: $7 (147%)
Cash: $68 (1429% of Medicare)
Ins. Median: $7 (147% 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
First Choice $3 63%
Medicaid / KanCare $3 63%
Bc Pml $4 84%
Node Champva $4 84%
Tricare $4 84%
UnitedHealthcare $4 - $5 84%
Aetna $5 - $255 105%
Blue Cross Blue Shield $5 - $7 105%
Cigna $5 - $20 105%
Community Hospice $5 105%
Hospice $5 105%
Humana $5 105%
Medicare (plans) $5 105%
Mercy Medical Hospice $5 105%
Node Clover Health Mcr Adv $5 105%
Node Devoted Health Mcr Adv $5 105%
Node Va $5 105%
Node Wellcare Mcr Adv $5 105%
Select Health $5 105%
Triwest $5 105%
Veterans Eval Services $5 105%
Windsor Health Plan $5 105%
Us Dol $6 126%
Ambetter / Centene $7 147%
Self Pay $51 - $85 1071%
American Employee Alliance $114 2395%
Multiplan $162 - $233 3403%
First Health $213 - $229 4475%
Alamed $217 4559%
Multiplan Inc $217 4559%
Coventry Work Comp Al $222 4664%
One Health $227 4769%
Pro America $227 4769%
Novanet $229 4811%
Alabama Wc $241 5063%
Gulf Health $241 5063%
Principal Ppo $241 5063%
Viva Health $241 5063%
National Health $255 5357%
Galaxy $258 5420%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1613 North McKenzie Street, Foley, AL 36535
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals