CMS Price Transparency Data

Blood test, potassium

Facility: Atrium Health Navicent Peach

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $28
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 5.88x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Atrium Health Navicent Peach is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 5.88x the Medicare baseline. Located in 1960 Highway 247 Connector, Byron, GA.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $26 (546%)
Insurance Median: $28 (588%)
Cash: $26 (546% of Medicare)
Ins. Median: $28 (588% 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 588% of the Medicare baseline (a markup of 488%). 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
Blue Cross Blue Shield $6 - $11 126%
Cigna $10 - $37 210%
Aetna $11 - $30 231%
Care Source $11 231%
Clover $11 231%
Eon Health $11 231%
Georgia Health Advantage $11 231%
Humana $11 - $43 231%
Pruitt Health $11 231%
UnitedHealthcare $11 - $32 231%
Securehealth $12 - $33 252%
Ambetter / Centene $15 - $26 315%
Alliant $25 525%
Multiplan $33 - $41 693%
Novanet $41 861%
Three Rivers Provider Network $43 903%
Beechstreet $47 987%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1960 Highway 247 Connector, Byron, GA 31008
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals