CMS Price Transparency Data

Blood test, potassium

Facility: HCA Florida North Florida Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $27
  • Cash Discount Price: $957
  • vs. Medicare Baseline: 5.67x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at HCA Florida North Florida Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $957. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 5.67x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.
Cash / Self-Pay
$957

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $957 (20105%)
Insurance Median: $27 (567%)
Cash: $957 (20105% of Medicare)
Ins. Median: $27 (567% 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 567% of the Medicare baseline (a markup of 467%). 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 - $191 84%
Aetna $5 - $287 105%
Align Senior Care $5 105%
American Health Plan $5 105%
Blue Cross Blue Shield $5 105%
Capital Health Plan $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 - $431 105%
United Behavioral Health $5 105%
Wellcare $5 105%
Wellmed $5 105%
Longevity Health Plan $6 126%
Oscar $6 126%
Simply Healthcare $6 126%
Corvel Corporation $48 1008%
Prime Health $49 1029%
Careworks (Rockport Community) $50 1050%
Avmed $115 - $478 2416%
Simply $147 3088%
Molina Healthcare $182 - $306 3824%
Evolutions $220 4622%
Sunshine State Health Plan $244 5126%
Plotkin Health $478 10042%
Prime Health Sheriff $478 10042%
Corizon Phs $574 12059%
Multiplan $746 - $813 15672%
Evernorth $765 16071%
Evolutions Healthcare $813 17080%
Ppo Next $813 17080%
Novanet $861 18088%
Beacon Health Options $957 20105%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 W Newberry Rd, Gainesville, FL 32605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals