CMS Price Transparency Data

Blood test, potassium

Facility: HCA Florida West Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $11
  • Cash Discount Price: $467
  • vs. Medicare Baseline: 2.31x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at HCA Florida West Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $467. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 2.31x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.
Cash / Self-Pay
$467

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: $467 (9811%)
Insurance Median: $11 (231%)
Cash: $467 (9811% 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
Humana $4 - $93 84%
Value Options $4 84%
Aetna $5 - $140 105%
Align Senior Care $5 105%
American Health Plan $5 105%
Blue Cross Blue Shield $5 105%
Centurion $5 105%
Clear Spring Health $5 105%
Florida Complete Care $5 105%
Gold Kidney Of Florida $5 105%
Healthspring Of Florida $5 105%
Ndms Definitive Care $5 105%
Oscar $5 105%
Sunshine State $5 105%
Triwest Healthcare Alliance $5 105%
Ultimate Health Plan $5 105%
United $5 - $210 105%
United Behavioral Health $5 105%
Wellcare $5 105%
Wellmed $5 105%
Longevity Health Plan $6 126%
Simply Healthcare $7 147%
Naphcare $10 - $11 210%
Seven Corners $10 - $11 210%
Corvel Corporation $43 903%
Prime Health $44 924%
Careworks (Rockport Community) $46 966%
Freedom Health $59 1239%
Simply $72 1513%
Molina Healthcare $89 - $149 1870%
Avmed $112 - $234 2353%
Sunshine State Health Plan $119 2500%
Plotkin Health $234 4916%
Prime Health Sheriff $234 4916%
Evolutions Healthcare $304 - $397 6387%
Multiplan $364 - $397 7647%
Evernorth $374 7857%
Ppo Next $397 8340%
Novanet $420 8824%
Beacon Health Options $467 9811%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8383 N Davis Hwy, Pensacola, FL 32514
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals