CMS Price Transparency Data

Blood test, potassium

Facility: El Centro Regional Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $71
  • Cash Discount Price: $88
  • vs. Medicare Baseline: 14.92x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at El Centro Regional Medical Center is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 14.92x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.
Cash / Self-Pay
$88

Average discount available for prompt cash payment at this facility.

Insurance Median
$71

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: $88 (1849%)
Insurance Median: $71 (1492%)
Cash: $88 (1849% of Medicare)
Ins. Median: $71 (1492% 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 1492% of the Medicare baseline (a markup of 1392%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $5 - $126 105%
Brand New Day Comm - All Other Plans $5 105%
Brand New Day Mcr $5 105%
Easy Choice Mcr Adv-All Plans $5 105%
Healthnet Mcr Adv $5 105%
Molina Mcr Adv $5 105%
Scp Managed Care - All Plans $5 105%
Tricare $5 105%
UnitedHealthcare $5 - $63 105%
Cdcr Correctional-All Plans $6 126%
Healthnet Hmo $6 126%
Blue Shield-All Plans $29 609%
Aetna $55 1155%
Pacificare-All Plans $78 1639%
Mulitplan Primary - All Other Plans $86 1807%
Cigna $94 1975%
Multiplan Comp $101 2122%
Trident - All Plans $107 2248%
Healthnet Comm-All Other Plans $113 2374%
Humana $117 2458%
Ahccs/Medi-Cal Misc - All Plans $126 2647%
Brand New Day Mcal $126 2647%
Medi-Cal $126 2647%
Molina Exchange - All Other Plans $126 2647%
Ambetter / Centene $130 2731%
Molina Mcal $139 2920%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1415 Ross Avenue, El Centro, CA 92243
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals