CMS Price Transparency Data

Blood test, potassium

Facility: Hialeah Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $207
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Hialeah Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $207. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 651 E 25Th St, Hialeah, FL.
Cash / Self-Pay
$207

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $207 (4349%)
Insurance Median: $5 (105%)
Cash: $207 (4349% of Medicare)
Ins. Median: $5 (105% 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
Cigna $2 - $61 42%
Humana $3 - $95 63%
Medicaid / KanCare $3 63%
UnitedHealthcare $3 - $5 63%
Veterans Administration Mill Bill $3 63%
Avmed Broad Network $4 84%
Medicare (plans) $4 - $10 84%
Aetna $5 - $149 105%
Bristol Hospice- Miami Dade Llc $5 105%
Catholic Hospice $5 105%
Comprehensive Home Health Care Dba Opuscare Of South Florida $5 105%
Devoted Health $5 105%
Employer Direct Healthcare $5 - $6 105%
Hcr Manor Care Services Of Fl $5 105%
Healthsun Health Plans $5 105%
Hospice Other $5 105%
Leon Health Inc $5 105%
Longevity Health Plan $5 105%
Odyssey Healthcare Of Marion County Dba Kindred Hospice $5 105%
Seasons Hospice And Pallative Care Of Southern Florida Inc $5 105%
Tricare $5 105%
Veterans Administration Vaccn $5 105%
Vitas Healthcare Hospice Corporation Of Fl $5 105%
Vitas Hospice Unit Agreement $5 105%
Bright Health Management Commercial $6 126%
Florida Pace Centers $6 126%
Imagine Health $6 126%
Oscar Health Plan Hix $6 126%
Self Pay/Uninsured $6 126%
Dimension Health Wc $7 147%
Naphcare Inc $7 147%
Workers Compensation $7 147%
Avmed Exchange $8 168%
Ambetter / Centene $9 189%
Molina Marketplace Program Exchange $9 189%
Amerihealth Caritas Next Exchange $10 210%
Auto Insurance $10 210%
Avmed Select Network $10 210%
Bc/Bs Myblue Hmo Hix $26 546%
Bc/Bs Of Fl Health Options Hmo $28 588%
Bc/Bs Of Fl Simplyblue $28 588%
Bc/Bs Of Fl Network Blue $30 630%
Bc/Bs Of Fl Ppo $30 630%
Bc/Bs Of Fl Blue Select Exchange Non Par $32 672%
Bc/Bs Of Fl Miami Dade Blue Select $32 672%
Bc/Bs Of Fl Phs $107 2248%
Dimensions International $135 2836%
First Health $141 2962%
Dimension Health Ppo $155 3256%
Commercial Non-Contracted $207 4349%
Self Pay - Mcd Pending 100 Percent $207 4349%
Single Case Agreement $207 4349%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 E 25Th St, Hialeah, FL 33013
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals