CMS Price Transparency Data

Blood test, potassium

Facility: HCA Florida Twin Cities Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $20
  • Cash Discount Price: $129
  • vs. Medicare Baseline: 4.20x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at HCA Florida Twin Cities Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 4.20x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.
Cash / Self-Pay
$129

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $129 (2710%)
Insurance Median: $20 (420%)
Cash: $129 (2710% of Medicare)
Ins. Median: $20 (420% 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 420% of the Medicare baseline (a markup of 320%). 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
Humana $4 - $49 84%
Aetna $5 - $39 105%
American Health Plan $5 105%
Blue Cross Blue Shield $5 105%
Centurion $5 105%
Clear Spring Health $5 105%
Florida Complete Care $5 105%
Gold Kidney Of Florida $5 105%
Healthspring Of Florida $5 105%
Ndms Definitive Care $5 105%
Regency Hospice $5 105%
Sunshine State $5 105%
Ultimate Health Plan $5 105%
United $5 - $58 105%
Wellcare $5 105%
Wellmed $5 105%
Longevity Health Plan $6 126%
Oscar $6 126%
Simply Healthcare $7 147%
Simply $20 420%
Molina Healthcare $25 - $41 525%
Avmed $31 - $64 651%
Sunshine State Health Plan $33 693%
Corvel Corporation $46 966%
Prime Health $47 987%
Careworks (Rockport Community) $48 1008%
Plotkin Health $64 1345%
Prime Health Sheriff $64 1345%
Evolutions Healthcare $84 - $110 1765%
Multiplan $101 - $110 2122%
Ppo Next $110 2311%
Novanet $116 2437%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2190 Hwy 85 N, Niceville, FL 32578
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals