CMS Price Transparency Data

Blood test, potassium

Facility: Memorial Hospital Miramar

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $217
  • Cash Discount Price: $253
  • vs. Medicare Baseline: 45.59x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Memorial Hospital Miramar is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $253. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 45.59x the Medicare baseline. Located in 1901 Sw 172Nd Ave, Miramar, FL.
Cash / Self-Pay
$253

Average discount available for prompt cash payment at this facility.

Insurance Median
$217

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: $253 (5315%)
Insurance Median: $217 (4559%)
Cash: $253 (5315% of Medicare)
Ins. Median: $217 (4559% 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 4559% of the Medicare baseline (a markup of 4459%). 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
Aetna $5 - $144 105%
Florida Community Care $5 105%
Florida Pace Centers $5 105%
Health Sun $5 - $271 105%
Humana $5 105%
Solis Health Plan $5 105%
Wellcare $5 105%
Align Senior Care $6 126%
Longevity $6 126%
Sunshine $6 - $152 126%
UnitedHealthcare $6 - $46 126%
Avmed $18 - $111 378%
Corvel $50 1050%
Employers Choice Network $50 1050%
First Health $50 1050%
Gallagher Bassett $50 - $289 1050%
Prime Health Services $53 1113%
Amerihealth Caritas $58 1218%
Community Care Plan $61 1282%
Cigna $64 - $100 1345%
Molina $65 1366%
Employers Health Network $116 2437%
Emerging Therapy Solutions $217 4559%
Allianz $235 4937%
Axis $235 4937%
Desjardins Financial Security Life Assurance Company $235 4937%
Global Health Claims $235 - $307 4937%
Global Medical Management $235 4937%
Global Reach Health $235 4937%
National Healthcare Solutions $235 4937%
Plotkin $235 4937%
Quality Health Management $235 4937%
Quebec Inc $235 4937%
Star Healthcare Network $235 4937%
World Medical Care $235 4937%
Worldwide Managed Care Partners $235 4937%
Worldwide Medical Assurance $235 4937%
Dimension Health $244 5126%
Broward County $718 - $2,726 15084%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 Sw 172Nd Ave, Miramar, FL 33029
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals