CMS Price Transparency Data

Blood test, potassium

Facility: HCA Florida Kendall Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $11
  • Cash Discount Price: $784
  • vs. Medicare Baseline: 2.31x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at HCA Florida Kendall Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $784. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 2.31x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.
Cash / Self-Pay
$784

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $784 (16471%)
Insurance Median: $11 (231%)
Cash: $784 (16471% of Medicare)
Ins. Median: $11 (231% 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 231% of the Medicare baseline (a markup of 131%). 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 - $235 105%
Align $5 105%
American Health Plan $5 105%
Avmed $5 - $392 105%
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 - $267 105%
Leon Health $5 105%
Ndms Definitive Care $5 105%
Oscar $5 - $7 105%
Prominence Healthfirst $5 105%
Sunshine State $5 105%
United $5 - $353 105%
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%
Naphcare $8 168%
Seven Corners $10 - $11 210%
Wellpath $10 - $11 210%
Corvel Corporation $49 1029%
Careworks (Rockport) $50 1050%
Prime Health $50 1050%
Freedom Health $67 - $125 1408%
Optimum $67 1408%
Simply Healthcare Plans $102 2143%
Molina $149 - $212 3130%
Health Sun Health Plan $167 3508%
Aids Healthcare $172 - $941 3613%
Mmm Of Fl (Health Advantage Plan) $180 3782%
United Ppo $186 3908%
Sunshine State Health Plan $204 4286%
Plotkin Health $392 8235%
Prime Health Sherriff $392 8235%
Medica Healthcare $455 9559%
Multiplan $588 - $666 12353%
Evernorth Bh $627 13172%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11750 Bird Rd, Miami, FL 33175
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals