CMS Price Transparency Data

Blood test, potassium

Facility: Physicians Regional Medical Center - Pine Ridge

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Physicians Regional Medical Center - Pine Ridge is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 6101 Pine Ridge Road, Naples, FL.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $19 (399%)
Insurance Median: $5 (105%)
Cash: $19 (399% of Medicare)
Ins. Median: $5 (105% 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.

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
Amerigroup $3 63%
Childrens Medical Services $3 63%
Humana $3 - $5 63%
Integral Health $3 63%
Magellan $3 63%
Medicaid / KanCare $3 63%
Prestige Health $3 63%
Simply Healthcare Plan $3 63%
UnitedHealthcare $3 - $21 63%
Wellcare $3 63%
Aetna $5 - $57 105%
Blue Cross Blue Shield $5 - $86 105%
Cigna $5 105%
Freedom Optimum $5 105%
Medicare (plans) $5 105%
Node Champva $5 105%
Node Non Par Hospice Agree $5 105%
Node Va $5 105%
Node Wellcare Mcr Adv $5 105%
Tricare $5 105%
Veterans Eval Services $5 105%
Node Us Dept Of Labor $6 126%
Occunet $6 - $12 126%
Florida Workers Compensation $7 147%
Prime Health Work Comp Fl $7 147%
Rockport $7 147%
Florida State Auto Insurance $10 210%
Ambetter / Centene $12 252%
Self Pay $16 - $21 336%
Community Health Partners $25 525%
Simply Healthcare $27 567%
Avmed $33 693%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6101 Pine Ridge Road, Naples, FL 34119
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals