CMS Price Transparency Data

Blood test, potassium

Facility: HCA Florida Jfk Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $19
  • Cash Discount Price: $178
  • vs. Medicare Baseline: 3.99x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at HCA Florida Jfk Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 3.99x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$178

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $178 (3739%)
Insurance Median: $19 (399%)
Cash: $178 (3739% of Medicare)
Ins. Median: $19 (399% 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 399% of the Medicare baseline (a markup of 299%). 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 $5 - $53 105%
Align $5 105%
American Health Plan $5 105%
Blue Cross Blue Shield $5 105%
Careplus Sfl $5 105%
Centurion $5 105%
Cigna $5 105%
Devoted Health $5 105%
Doctors Healthcare Plan $5 105%
Florida Complete Care $5 105%
Gold Kidney $5 105%
Humana $5 - $61 105%
Ndms Definitive Care $5 105%
Oscar $5 - $7 105%
Palm Beach Pace $5 105%
Prominence Healthfirst $5 105%
Sunshine State $5 105%
United $5 - $80 105%
United Behavioral Health $5 105%
Veterans Evaluation Services $5 105%
Wellmed $5 105%
Amerihealth Caritas $6 - $7 126%
Longevity Health Plan $6 126%
Simply Healthcare $6 126%
Solis Health Plan $7 147%
Freedom Health $15 - $28 315%
Optimum $15 315%
Avmed $23 - $89 483%
Simply Healthcare Plans $23 483%
Molina $30 - $48 630%
Health Sun Health Plan $38 798%
Aids Healthcare $39 - $214 819%
Mmm Of Fl (Health Advantage Plan) $41 861%
United Ppo $42 882%
Sunshine State Health Plan $46 966%
Corvel Corporation $47 987%
Careworks (Rockport) $48 1008%
Prime Health $48 1008%
Blis $62 1303%
District Cares $89 1870%
Plotkin Health $89 1870%
Prime Health Sherriff $89 1870%
Medica Healthcare $105 2206%
Multiplan $134 - $151 2815%
Evernorth Bh $142 2983%
Healthy Palm Beaches $550 11555%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals