CMS Price Transparency Data

Blood test, potassium

Facility: HCA Florida Raulerson Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $42
  • Cash Discount Price: $490
  • vs. Medicare Baseline: 8.82x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at HCA Florida Raulerson Hospital is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $490. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 8.82x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$490

Average discount available for prompt cash payment at this facility.

Insurance Median
$42

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: $490 (10294%)
Insurance Median: $42 (882%)
Cash: $490 (10294% of Medicare)
Ins. Median: $42 (882% 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 882% of the Medicare baseline (a markup of 782%). 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 - $196 84%
Aetna $5 - $147 105%
American Health Plan $5 105%
Blue Cross Blue Shield $5 105%
Careplus $5 105%
Centurion $5 105%
Cigna $5 105%
Devoted Health $5 105%
Florida Complete Care $5 105%
Ndms Definitive Care $5 105%
Prominence Healthfirst $5 105%
Sunshine State $5 105%
Ultimate Health Plan $5 105%
United $5 - $220 105%
Veterans Evaluation Services $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%
Corvel Corporation $42 882%
Freedom Health $42 - $78 882%
Optimum $42 882%
Careworks (Rockport) $43 903%
Prime Health $43 903%
Avmed $64 - $245 1345%
Simply Healthcare Plans $64 1345%
Molina $93 - $132 1954%
Health Sun Health Plan $104 2185%
Sunshine State Health Plan $125 2626%
United Ppo $216 4538%
Plotkin Health $245 5147%
Prime Health Sherriff $245 5147%
Multiplan $368 - $416 7731%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals