CMS Price Transparency Data

Blood test, potassium

Facility: Palmetto General Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $6
  • Cash Discount Price: $269
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Palmetto General Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $269. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.26x the Medicare baseline. Located in 2001 W 68Th St, Hialeah, FL.
Cash / Self-Pay
$269

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $269 (5651%)
Insurance Median: $6 (126%)
Cash: $269 (5651% of Medicare)
Ins. Median: $6 (126% 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
Cigna $2 - $135 42%
Humana $3 - $109 63%
Medicaid / KanCare $3 - $269 63%
UnitedHealthcare $3 - $5 63%
Veterans Administration Mill Bill $3 63%
Avmed Broad Network $4 84%
Medicare (plans) $4 - $269 84%
Aetna $5 - $191 105%
Bristol Hospice- Miami Dade Llc $5 105%
Catholic Hospice $5 105%
Compassionate Care Hospice Of Miami Dade And The Fl Keys Inc $5 105%
Devoted Health $5 105%
Employer Direct Healthcare $5 - $6 105%
Healthsun Health Plans $5 105%
Hospice Other $5 105%
Ima Evalutations Inc $5 105%
Leon Health Inc $5 105%
Longevity Health Plan $5 105%
Odyssey Healthcare Of Marion County Dba Kindred Hospice $5 105%
Opuscare Of South Fl $5 105%
Seasons Hospice And Pallative Care Of Southern Florida Inc $5 105%
Select Specialty Hospital $5 105%
Tricare $5 105%
Veterans Administration Vaccn $5 105%
Vitas Healthcare Hospice $5 105%
Westchester General Hospital $5 105%
Bright Health Management Commercial $6 126%
Florida Pace Centers $6 126%
Imagine Health $6 126%
Oscar Health Plan Hix $6 126%
Self Pay/Uninsured $6 126%
Dimension Health Wc $7 147%
Naphcare Inc $7 147%
Workers Compensation $7 147%
Avmed Exchange $8 168%
Ambetter / Centene $9 189%
Molina Marketplace Program Exchange $9 189%
Amerihealth Caritas Next Exchange $10 210%
Auto Insurance $10 210%
Avmed Select Network $10 210%
Bc/Bs Myblue Hmo Hix $39 819%
Bc/Bs Of Fl Network Blue $39 819%
Bc/Bs Of Fl Simplyblue $39 819%
Bc/Bs Of Fl Blue Select Exchange Non Par $41 861%
Bc/Bs Of Fl Health Options Hmo $41 861%
Bc/Bs Of Fl Ppo $41 861%
Bc/Bs Of Fl Miami Dade Blue Select $54 1134%
Bc/Bs Of Fl Phs $135 2836%
Liga Contra El Cancer $135 2836%
Magellan Behavioral Health $162 3403%
Dimensions International $175 3676%
First Health $180 3782%
Dimension Health Ppo $202 4244%
Beacon Health Strategies Commercial $269 5651%
Commercial Non-Contracted $269 5651%
Self Pay - Mcd Pending 100 Percent $269 5651%
Single Case Agreement $269 5651%
United Behavioral Health Psych $269 5651%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 W 68Th St, Hialeah, FL 33016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals