CMS Price Transparency Data

Blood test, potassium

Facility: Lower Keys Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $8
  • Cash Discount Price: $79
  • vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Lower Keys Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.68x the Medicare baseline. Located in 5900 College Road, Key West, FL.
Cash / Self-Pay
$79

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $79 (1660%)
Insurance Median: $8 (168%)
Cash: $79 (1660% of Medicare)
Ins. Median: $8 (168% 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
UnitedHealthcare $3 - $196 63%
Florida Childrens Medical Services $4 84%
Humana $4 - $5 84%
Medicaid / KanCare $4 - $5 84%
South Florida Community Care Network $4 84%
Amerigroup $5 105%
Blue Cross Blue Shield $5 - $255 105%
Correct Care Solutions $5 105%
Magellan $5 105%
Medicare (plans) $5 105%
Molina $5 105%
Node Champva $5 105%
Node Non Par Hospice Agree $5 105%
Node United Behavioral Va Ccn $5 105%
Node Va $5 105%
Positive Healthcare $5 105%
Prestige Health Choice $5 105%
Simply Healthcare $5 - $79 105%
Tricare $5 105%
Ultimate Health $5 105%
Veterans Eval Services $5 105%
Wellcare $5 105%
Wellcare Healthease $5 105%
Node Us Dept Of Labor $6 126%
Fl Work Comp $7 147%
Heritage Summit Work Comp Fl $7 147%
Prime Health Work Comp Fl $7 147%
State Auto Insurance Fl $10 210%
Self Pay $69 - $89 1450%
Cigna $151 3172%
Aetna $178 3739%
Monroe County $191 4013%
Evolutions Healthcare Systems $204 - $242 4286%
Keys Energy $204 4286%
Prime Health Ppo $204 4286%
Avmed Health Plan $217 4559%
Direct Healthcare $255 5357%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals