CMS Price Transparency Data

Blood test, potassium

Facility: HCA Florida Aventura Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $43
  • Cash Discount Price: $499
  • vs. Medicare Baseline: 9.03x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at HCA Florida Aventura Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $499. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 9.03x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.
Cash / Self-Pay
$499

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

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: $499 (10483%)
Insurance Median: $43 (903%)
Cash: $499 (10483% of Medicare)
Ins. Median: $43 (903% 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 903% of the Medicare baseline (a markup of 803%). 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 - $150 105%
Align $5 105%
American Health Plan $5 105%
Avmed $5 - $250 105%
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 - $170 105%
Leon Health $5 105%
Ndms Definitive Care $5 105%
Oscar $5 - $7 105%
Prominence Healthfirst $5 105%
Sunshine State $5 105%
United $5 - $225 105%
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 $43 - $80 903%
Optimum $43 903%
Corvel Corporation $49 1029%
Careworks (Rockport) $50 1050%
Prime Health $50 1050%
Simply Healthcare Plans $65 1366%
Molina $85 - $135 1786%
Health Sun Health Plan $106 2227%
Aids Healthcare $110 - $599 2311%
Mmm Of Fl (Health Advantage Plan) $115 2416%
United Ppo $118 2479%
Sunshine State Health Plan $130 2731%
Plotkin Health $250 5252%
Prime Health Sherriff $250 5252%
Medica Healthcare $289 6071%
Multiplan $374 - $424 7857%
Evernorth Bh $399 8382%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 20900 Biscayne Blvd, Aventura, FL 33180
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals