CMS Price Transparency Data

Blood test, potassium

Facility: Ochsner Choctaw General

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $12
Cash Discount Price: $36
vs. Medicare Baseline: 2.52x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Ochsner Choctaw General is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 2.52x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$36

Average discount available for prompt cash payment at this facility.

Insurance Median

$12

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: $36 (756%)

Insurance Median: $12 (252%)

Cash: $36 (756% of Medicare)

Ins. Median: $12 (252% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 252% of the Medicare baseline (a markup of 152%). 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
UnitedHealthcare	$2 - $26	42%
Blue Cross Blue Shield	$3 - $15	63%
Humana	$4 - $22	84%
Medicaid / KanCare	$4 - $5	84%
Cigna	$5 - $26	105%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$5 - $22	105%
Medicare (plans)	$5 - $25	105%
Prime Health Services Ppo	$5 - $38	105%
Primewell Health Services Commercial Exchange Plan	$5 - $32	105%
Primewell Health Services – Commercial	$5 - $32	105%
Shared Health Mississippi	$5 - $23	105%
Prime Health Services Ppo -Workers Comp	$7 - $38	147%
Cor Vel	$8 - $39	168%
Aetna	$9 - $31	189%
Zelis	$10 - $36	210%
Claritev D/B/A Multiplan/Phcs/American Life Care	$13 - $36	273%
Select Administrative Services Network	$17 - $34	357%
Ambetter / Centene	$22	462%

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 $36.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84132.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Choctaw General is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84132.
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.