CMS Price Transparency Data

Blood test, potassium

Facility: Jay Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $22
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 4.62x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Jay Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 4.62x the Medicare baseline. Located in 14114 Alabama St, Jay, FL.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $15 (315%)
Insurance Median: $22 (462%)
Cash: $15 (315% of Medicare)
Ins. Median: $22 (462% 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 462% of the Medicare baseline (a markup of 362%). 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
UnitedHealthcare $1 - $22 21%
Wellcare $1 - $22 21%
Aetna $3 - $47 63%
Cha Health Plan $3 63%
Humana $3 - $22 63%
Simply Healthcare Healthy Kids $3 63%
Staywell $3 63%
Sunshine Health $3 63%
Fl Community Care Ltc $5 105%
Medicare (plans) $5 105%
Fl Blue $10 - $312 210%
Bc Fl $22 462%
Wc Corvel $43 - $94 903%
Hospice Emerald Coast $50 1050%
Hospice Regency $50 1050%
Hospice Vitas $50 1050%
Cigna $55 - $99 1155%
Private Healthcare $64 1345%
First Health $70 1471%
Multiplan $88 1849%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14114 Alabama St, Jay, FL 32565
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals