CMS Price Transparency Data

Blood test, potassium

Facility: North Okaloosa Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $7
  • Cash Discount Price: $37
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at North Okaloosa Medical Center is $7. 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 1.47x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$37

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $7 (147%)
Cash: $37 (777% of Medicare)
Ins. Median: $7 (147% 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
Amerigroup $3 63%
Humana $3 - $5 63%
Integral Health $3 63%
Magellan Health $3 63%
Medicaid / KanCare $3 63%
Prestige Health $3 63%
Simply Healthcare $3 - $5 63%
UnitedHealthcare $3 - $33 63%
Wellcare $3 - $5 63%
Node Champva $4 84%
Tricare $4 84%
Aetna $5 - $125 105%
Blue Cross Blue Shield $5 - $166 105%
Cigna $5 - $130 105%
Florida Department Of Corrections $5 105%
Medicare (plans) $5 105%
Node Non Par Hospice Agree $5 105%
Node Va $5 105%
Veterans Eval Services $5 105%
Node Us Dept Of Labor $6 126%
Amcomp Workers Comp $7 147%
Evolutions $7 - $146 147%
Oscar $7 147%
Prime Health Work Comp Fl $7 147%
Usa Managed Care Work Comp Fl $7 147%
State Auto Insurance Fl $10 210%
Occunet $12 252%
Self Pay $30 - $45 630%
Corizon Health Inc $56 1176%
Phcs $150 3151%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals