CMS Price Transparency Data

Blood test, potassium

Facility: HCA Florida Fawcett Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $45
  • Cash Discount Price: $853
  • vs. Medicare Baseline: 9.45x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at HCA Florida Fawcett Hospital is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $853. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 9.45x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.
Cash / Self-Pay
$853

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $853 (17920%)
Insurance Median: $45 (945%)
Cash: $853 (17920% of Medicare)
Ins. Median: $45 (945% 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 945% of the Medicare baseline (a markup of 845%). 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
Caresource $4 84%
Humana $4 - $239 84%
Aetna $5 - $256 105%
Align Senior Care $5 105%
American Health Plan $5 105%
Blue Cross Blue Shield $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%
Secur $5 105%
Sunshine State $5 105%
Ultimate Health Plan $5 105%
United $5 - $384 105%
United Va Ccn $5 105%
Wellcare $5 105%
Wellmed $5 105%
Oscar $7 147%
Simply Healthcare $7 - $131 147%
Access 2 Healthcare Physicians Freedom Optimum Group Members $40 840%
Corvel Corporation $44 924%
Rockport Healthcare Group $44 924%
Prime Health $45 945%
Access 2 Healthcare Physicians Freedom Health $61 1282%
Access 2 Healthcare Physicians Optimum $61 1282%
Freedom Health Care $67 1408%
Optimum Healthcare $67 1408%
Avmed $68 - $213 1429%
Molina $162 - $230 3403%
Evolutions Healthcare Systems $196 - $785 4118%
Sunshine State Health Plan $218 4580%
Behealthy America $333 6996%
Healthcare Sarasota $427 8971%
Plotkin Health $427 8971%
Prime Health Sheriff $427 8971%
Multiplan $640 - $725 13445%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 21298 Olean Blvd, Port Charlotte, FL 33952
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals