CMS Price Transparency Data

Blood test, potassium

Facility: Atrium Health Navicent Rehabilitation Hopsital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $12
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 2.52x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Atrium Health Navicent Rehabilitation Hopsital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 2.52x the Medicare baseline. Located in 3351 Northside Dr, Macon, GA.
Cash / Self-Pay
$35

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: $35 (735%)
Insurance Median: $12 (252%)
Cash: $35 (735% 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
UnitedHealthcare $3 - $16 63%
Aetna $5 - $49 105%
Alliant $5 - $6 105%
Blue Cross Blue Shield $5 - $6 105%
Care Source $5 105%
Clover $5 105%
Eon Health $5 105%
Georgia Health Advantage $5 105%
Humana $5 - $48 105%
Kaiser $5 - $16 105%
Pruitt Health $5 105%
Cigna $6 - $13 126%
Ibg $12 - $49 252%
Securehealth $12 - $24 252%
Ambetter / Centene $21 - $36 441%
Multiplan $46 - $56 966%
Novanet $56 1176%
Three Rivers Provider Network $60 1261%
Beechstreet $65 1366%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3351 Northside Dr, Macon, GA 31210
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL