CMS Price Transparency Data

Blood test, potassium

Facility: Hazel Hawkins Memorial Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $208
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 43.70x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Hazel Hawkins Memorial Hospital is $208. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 43.70x the Medicare baseline. Located in 911 Sunset Drive, Hollister, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$208

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%)
Insurance Median: $208 (4370%)
Ins. Median: $208 (4370% 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 4370% of the Medicare baseline (a markup of 4270%). 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 - $271 105%
Kaiser Mcal $5 105%
Medi-Cal $5 105%
Tricare $5 105%
Triwest - All Plans $5 105%
Valley Hp Mcal $5 105%
Ccah Mcal - All Plans $8 168%
UnitedHealthcare $12 - $203 252%
Blue Shield Mcare $46 - $52 966%
Caremore Med Adv - All Plans $46 - $52 966%
Kaiser Med Adv $46 - $52 966%
Central Hp Med Adv $49 - $54 1029%
Valley Hp Covered Ca $128 - $142 2689%
Valley Hp Preferred $128 - $142 2689%
Kaiser Comm - All Other Plans $144 - $160 3025%
Blue Shield Of Ca - All Other Plans $148 - $164 3109%
Valley Hp Classic - All Other Plans $154 - $171 3235%
Beech Street Corp Ppo - All Plans $208 - $231 4370%
Cigna $208 - $231 4370%
Corvel Ppo - All Plans $208 - $231 4370%
First Health Ppo - All Plans $208 - $231 4370%
Great West Ppo - All Plans $208 - $231 4370%
Nx Health Network - All Plans $208 - $231 4370%
Interplan Ppo - All Plans $215 - $239 4517%
Bce Emergis/Multi Ppo - All Plans $220 - $244 4622%
Healthnet Hmo $220 - $244 4622%
Healthnet Ppo - All Other Plans $220 - $244 4622%
Metracomp Wc Ppo - All Plans $220 - $244 4622%
One Hp Ppo - All Plans $220 - $244 4622%
Admar Ppo - All Plans $222 - $247 4664%
Pacific Hlth Alliance - All Plans $225 - $250 4727%
Ccn Ppo - All Other Plans $232 - $258 4874%
Choicecare Ppo/Hmo - All Plans $232 - $258 4874%
Coastal Hlthcre Ppo/Hmo - All Plans $232 - $258 4874%
Ccn (W/C) $244 - $271 5126%
Central Coast Ppo - All Other Plans $244 - $271 5126%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 911 Sunset Drive, Hollister, CA 95032
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals