CMS Price Transparency Data

Blood test, potassium

Facility: Doctors Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $6
  • Cash Discount Price: $164
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Doctors Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.26x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
$164

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $164 (3445%)
Insurance Median: $6 (126%)
Cash: $164 (3445% of Medicare)
Ins. Median: $6 (126% 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
Aetna $4 - $99 84%
Blue Cross Blue Shield $4 - $5 84%
Humana $4 - $5 84%
Absolute Total Care $5 - $32 105%
Caresource $5 105%
Clover $5 105%
Coventry $5 105%
Devoted Health $5 105%
Eon Health $5 105%
Friday Health $5 105%
Georgia Assurance $5 105%
Health Net $5 105%
Healthspring $5 105%
Regency Hospice $5 105%
Shared Health $5 105%
St Joseph Hospice $5 105%
United $5 - $81 105%
Wellcare $5 - $36 105%
Ambetter / Centene $6 126%
Blue Choice $6 126%
Health One Alliance $6 126%
Qtc Medical Group $6 126%
Dept Of Community Health $7 147%
Amerigroup $21 - $25 441%
Nhc Advantage $28 - $34 588%
Pruitt Health $28 - $34 588%
Peach State $30 - $36 630%
Centurion $41 - $50 861%
Americas 1St Choice $42 - $50 882%
Medcost $74 - $115 1555%
Kaiser Permanente $81 - $98 1702%
Multiplan $89 - $161 1870%
Performax $101 - $122 2122%
First Health $111 - $134 2332%
Employer'S Health Network $119 - $143 2500%
Novanet $134 - $161 2815%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals