CMS Price Transparency Data

Blood test, potassium

Facility: HCA Florida Lawnwood Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $14
  • Cash Discount Price: $486
  • vs. Medicare Baseline: 2.94x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at HCA Florida Lawnwood Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $486. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 2.94x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$486

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $486 (10210%)
Insurance Median: $14 (294%)
Cash: $486 (10210% of Medicare)
Ins. Median: $14 (294% 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 294% of the Medicare baseline (a markup of 194%). 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
Cigna $3 - $273 63%
Aetna $5 - $225 105%
American Health Plan $5 105%
Blue Cross Blue Shield $5 - $315 105%
Bright Health $5 - $128 105%
Careplus $5 105%
Centurion $5 105%
Delaware Life Insurance $5 105%
Devoted Health $5 105%
Florida Complete Care $5 105%
Humana $5 - $218 105%
Innovage Pace $5 105%
Kaiser $5 - $151 105%
Mutual Of Omaha $5 105%
Ndms Definitive Care $5 105%
Prominence Healthfirst $5 105%
Rocky Mountain Health $5 105%
Rocky Mountain Health Plan $5 105%
Sunshine State $5 105%
Total Longterm Care $5 105%
Triwest Health Alliance $5 105%
Ultimate Health Plan $5 105%
United $5 - $246 105%
United Behavioral Health $5 105%
Veterans Evaluation Services $5 105%
Wellcare $5 105%
Wellmed $5 105%
Amerihealth Caritas $6 126%
Longevity Health Plan $6 126%
Solis Health Plan $7 147%
Oscar $9 189%
Simply Healthcare $11 231%
Pinnacol Workers Comp $13 273%
Multiplan $14 - $464 294%
Corvel Corporation $47 987%
Freedom Health $47 - $87 987%
Optimum $47 987%
Careworks (Rockport) $48 1008%
Prime Health $48 - $383 1008%
Vail Health $65 1366%
Avmed $71 - $273 1492%
Simply Healthcare Plans $71 1492%
Molina $104 - $147 2185%
Health Sun Health Plan $116 2437%
Sunshine State Health Plan $139 2920%
Office Of Sheiff Highland Co $191 4013%
United Ppo $240 5042%
Plotkin Health $273 5735%
Prime Health Sherriff $273 5735%
Western Plains Community Health $277 5819%
Northcare $298 6261%
Physician Health Partners $298 6261%
Medical Development International $341 7164%
Evernorth Bh $437 9181%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals