CMS Price Transparency Data

Blood test, potassium

Facility: Shands Jacksonville

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $38
  • Cash Discount Price: $37
  • vs. Medicare Baseline: 7.98x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Shands Jacksonville is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 7.98x the Medicare baseline. Located in 655 W 8Th St, Jacksonville, FL.
Cash / Self-Pay
$37

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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: $37 (777%)
Insurance Median: $38 (798%)
Cash: $37 (777% of Medicare)
Ins. Median: $38 (798% 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 798% of the Medicare baseline (a markup of 698%). 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
Aetna $3 - $56 63%
Amerihealth Caritas Florida $3 63%
Carelon Health $3 63%
Community Care Plan $3 63%
Florida Community Care $3 63%
Humana $3 - $58 63%
Molina $3 - $6 63%
Simply Healthcare $3 63%
Ameri-Plus Preferred Care $5 105%
Avmed $5 - $38 105%
Beacon Health Strategies $5 105%
Blue Cross Blue Shield $5 - $971 105%
Capital Health Plan $5 - $34 105%
Careplus Health Plan $5 105%
Devoted Health Plan $5 105%
Florida Health Care Plan $5 - $9 105%
Positive Healthcare Partners $5 105%
UnitedHealthcare $5 - $407 105%
Florida Complete Care $6 126%
Wellcare Of Florida $6 126%
Ambetter / Centene $8 168%
Wellpath $8 168%
Volusia Health Network $28 588%
Northeast Florida State Hospital $29 - $30 609%
North Florida Evaluation & Treatment Center $32 672%
Centivo $37 777%
Disney Cruise Line $40 - $41 840%
Cigna $42 882%
Health First Health Plan $44 - $51 924%
Mental Health Associates $44 924%
Prime Health Services $47 - $51 987%
Florida Health Alliance $48 - $49 1008%
Archbold Medical Center $50 - $51 1050%
Genex $50 - $51 1050%
Rockport Provider $50 - $51 1050%
Corvel Corp $57 - $58 1197%
First Health $57 - $58 1197%
Florida Hospital Healthcare System $57 - $58 1197%
Medsave Usa Tpa $57 - $58 1197%
Fringe Benefits Coordinators $60 - $64 1261%
Multiplan $60 - $61 1261%
Novanet $60 - $61 1261%
Truli For Health $375 7878%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 655 W 8Th St, Jacksonville, FL 32209
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals