CMS Price Transparency Data

Blood test, potassium

Facility: Baycare Hospital Wesley Chapel

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $12
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 2.52x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Baycare Hospital Wesley Chapel is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 2.52x the Medicare baseline. Located in 4501 Bruce B Downs Blvd, Wesley Chapel, FL.
Cash / Self-Pay
$13

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $13 (273%)
Insurance Median: $12 (252%)
Cash: $13 (273% of Medicare)
Ins. Median: $12 (252% 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 252% of the Medicare baseline (a markup of 152%). 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
Freedom $2 - $27 42%
Molina $2 - $79 42%
Optimum $2 - $27 42%
Simply Healthcare $2 - $24 42%
Aetna $3 - $108 63%
Careplus $3 - $30 63%
Clear Health Alliance $3 63%
Florida Community Care $3 63%
Freedom Health $3 63%
Humana $3 - $6 63%
Molina Healthcare $3 63%
Sunshine Health $3 63%
UnitedHealthcare $3 - $120 63%
Avmed $4 - $65 84%
Blue Cross Blue Shield $4 - $70 84%
Ultimate Health Plan $4 - $40 84%
Baycareplus $5 105%
Cigna $5 - $116 105%
Solis Health $5 105%
Evolutions $6 - $124 126%
Wellcare $7 147%
First Health $10 - $113 210%
Ambetter / Centene $11 - $133 231%
Multiplan $11 - $120 231%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4501 Bruce B Downs Blvd, Wesley Chapel, FL 33544
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals