CMS Price Transparency Data

Blood test, potassium

Facility: East Georgia Regional Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $8
  • Cash Discount Price: $57
  • vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at East Georgia Regional Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.68x the Medicare baseline. Located in 1499 Fair Road, Statesboro, GA.
Cash / Self-Pay
$57

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $57 (1197%)
Insurance Median: $8 (168%)
Cash: $57 (1197% of Medicare)
Ins. Median: $8 (168% 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
Blue Cross Blue Shield $4 - $66 84%
Node Champva $4 84%
Tricare $4 84%
Caresource Mcr Adv $5 105%
Health Net Va $5 105%
Humana $5 105%
Medicaid / KanCare $5 - $6 105%
Medicare (plans) $5 105%
Node Clover Health Mcr Adv $5 105%
Node Non Par Hospice Agree $5 105%
Node Va $5 105%
UnitedHealthcare $5 - $9 105%
Veterans Eval Services $5 105%
Node Us Dept Of Labor $6 126%
Peach State Hlth Plan Mcaid Ga $7 147%
Ambetter / Centene $8 168%
Ga Work Comp $8 168%
Prime Health Work Comp $8 168%
Three Rivers Wc $8 168%
Caresource Exchange $9 189%
Department Of Health $13 273%
Aetna $17 - $900 357%
Self Pay $50 - $65 1050%
Ibg $65 - $83 1366%
Industry Buying Group $68 1429%
Coventry $105 2206%
Three Rivers Provider Network $111 2332%
First Health $139 2920%
Prime Health Commercial $148 3109%
Novanet $157 3298%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1499 Fair Road, Statesboro, GA 30458
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals