CMS Price Transparency Data

Blood test, potassium

Facility: HCA Florida Lake City Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $39
  • Cash Discount Price: $327
  • vs. Medicare Baseline: 8.19x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at HCA Florida Lake City Hospital is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $327. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 8.19x the Medicare baseline. Located in 340 Nw Commerce Dr, Lake City, FL.
Cash / Self-Pay
$327

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $327 (6870%)
Insurance Median: $39 (819%)
Cash: $327 (6870% of Medicare)
Ins. Median: $39 (819% 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 819% of the Medicare baseline (a markup of 719%). 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
Hospice Of North Central Fl $4 84%
Humana $4 - $65 84%
Aetna $5 - $98 105%
Align Senior Care $5 105%
American Health Plan $5 105%
Blue Cross Blue Shield $5 105%
Centurion $5 105%
Cigna $5 105%
Clear Spring Health $5 105%
Florida Complete Care $5 105%
Gold Kidney Of Florida $5 105%
Ndms Definitive Care $5 105%
Sunshine State $5 105%
Ultimate Health Plan $5 105%
United $5 - $147 105%
Wellcare $5 105%
Wellmed $5 105%
Longevity Health Plan $6 126%
Oscar $6 126%
Simply Healthcare $6 126%
Avmed $39 - $163 819%
Corvel Corporation $42 882%
Prime Health $43 903%
Careworks (Rockport Community) $45 945%
Simply $50 1050%
Evolutions $75 - $278 1576%
Sunshine State Health Plan $83 1744%
Molina Healthcare $104 2185%
Plotkin Health $163 3424%
Prime Health Sheriff $163 3424%
Hamilton County Jail $176 3697%
Multiplan $255 - $278 5357%
Ppo Next $278 5840%
Novanet $294 6176%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 340 Nw Commerce Dr, Lake City, FL 32055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals