CMS Price Transparency Data

Blood test, potassium

Facility: Santa Rosa Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $4
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Santa Rosa Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 0.84x the Medicare baseline. Located in 6002 Berryhill Rd, Milton, FL.
Cash / Self-Pay
$17

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $17 (357%)
Insurance Median: $4 (84%)
Cash: $17 (357% of Medicare)
Ins. Median: $4 (84% 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
Aetna $2 - $65 42%
Fl Community Care $3 63%
Humana $3 - $5 63%
Medicaid / KanCare $3 63%
Molina $3 63%
Prime Health Services $3 - $92 63%
Tricare $3 - $4 63%
Wellcare $3 63%
Blue Cross Blue Shield $4 - $116 84%
Cigna $4 - $26 84%
Geo Group $4 - $6 84%
Hospice Of Nw Fl $4 - $5 84%
Medicare (plans) $4 - $5 84%
Node Champva $4 84%
Node Us Dept Of Labor $4 - $6 84%
Node Va $4 - $5 84%
Node Wellcare Mcr Adv $4 - $5 84%
Oscar $4 - $7 84%
UnitedHealthcare $4 - $22 84%
Veterans Eval Services $4 - $5 84%
Florida State Auto Insurance $7 - $10 147%
Florida Workers Compensation $7 147%
Prime Health Work Comp Fl $7 147%
Ambetter / Centene $9 - $11 189%
Self Pay $27 567%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6002 Berryhill Rd, Milton, FL 32570
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals