CMS Price Transparency Data

Blood test, potassium

Facility: Marion Communtiy Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $8
  • Cash Discount Price: $320
  • vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Marion Communtiy Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $320. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.68x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
$320

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: $320 (6723%)
Insurance Median: $8 (168%)
Cash: $320 (6723% 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
Humana $4 - $64 84%
Aetna $5 - $96 105%
Align Senior Care $5 105%
American Health Plan $5 105%
Avmed $5 - $90 105%
Blue Cross Blue Shield $5 105%
Careplus $5 105%
Centurion $5 105%
Cigna $5 105%
Clear Spring Health $5 105%
Devoted Health $5 105%
Florida Complete Care $5 105%
Freedom Optimum $5 105%
Gold Kidney Of Florida $5 105%
Ndms Definitive Care $5 105%
Secur $5 105%
Sunshine State $5 105%
Ultimate Health Plan $5 105%
United $5 - $144 105%
Va Purchased Care Program $5 105%
Veterans Evaluation Services $5 105%
Wellcare $5 105%
Wellmed $5 105%
Longevity Health Plan $6 126%
Simply Healthcare $6 126%
Naphcare $10 - $11 210%
University Ma Federal Corrections $10 210%
Wellpath $10 - $11 210%
Corvel Corporation $43 903%
Prime Health $44 924%
Careworks (Rockport Community) $45 945%
Marion County Schools $45 945%
Simply $49 1029%
Molina Healthcare $61 - $102 1282%
Evolutions $74 1555%
Evolutions Healthcare $74 1555%
Sunshine State Health Plan $82 1723%
Plotkin Health $160 3361%
Prime Health Sheriff $160 3361%
Multiplan $249 5231%
Ppo Next $272 5714%
Novanet $288 6050%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals