CMS Price Transparency Data
Blood test, potassium
Facility: Claiborne Memorial Medical Center
Billing Code: 84132 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84132
- Insurance Median: $10
- Cash Discount Price: $21
- vs. Medicare Baseline: 2.10x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Claiborne Memorial Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 2.10x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$21
Average discount available for prompt cash payment at this facility.
Insurance Median
$10
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: $21 (441%)
Insurance Median: $10 (210%)
Cash: $21 (441% of Medicare)
Ins. Median: $10 (210% 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 210% of the Medicare baseline (a markup of 110%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 - $21 | 84% |
| Amerihealth Caritas La | $4 - $14 | 84% |
| Commercial Insurance | $4 - $33 | 84% |
| Community Health Solution | $4 - $14 | 84% |
| Correctcare Intergrated | $4 - $14 | 84% |
| Healthy Blue | $4 - $14 | 84% |
| Humana | $4 - $33 | 84% |
| Louisiana Hc Connections | $4 - $14 | 84% |
| Magellan Services | $4 - $14 | 84% |
| Medicaid / KanCare | $4 - $14 | 84% |
| Meritain Health | $4 - $21 | 84% |
| UnitedHealthcare | $4 - $14 | 84% |
| Arcadian Community Mcr Hm | $5 | 105% |
| Blue Cross Blue Shield | $5 - $25 | 105% |
| Champus | $5 | 105% |
| Champva | $5 | 105% |
| Cigna | $5 - $25 | 105% |
| Healthy Blue Dual Adv | $5 | 105% |
| Kaiser Foundation Health | $5 | 105% |
| Medicare (plans) | $5 | 105% |
| Peoples Health Network | $5 | 105% |
| Pyramid Claims Mcr Hmo | $5 | 105% |
| Sterling Connect 2 | $5 | 105% |
| Sterling Premier Mc Hmo | $5 | 105% |
| Superior Health Mcr Hmo | $5 | 105% |
| Tenet Mcr Hmo | $5 | 105% |
| Tricare | $5 | 105% |
| United Hc Mcr Hmo | $5 | 105% |
| Universal Hc Mcr Hmo | $5 | 105% |
| Us Dept Of Labor | $5 | 105% |
| Vantage Health Mcr Hmo | $5 | 105% |
| Windsor Sterling Mcr Hmo | $5 | 105% |
| Wps Mvh Vapc3 | $5 | 105% |
| All Savers | $6 | 126% |
| Coventry Healthcare | $6 - $20 | 126% |
| Golden Rule Ins Co | $6 | 126% |
| United Behavioral Health | $6 | 126% |
| Vantage Health Plan Inc | $6 | 126% |
| Ambetter / Centene | $7 | 147% |
| Apwu Healthplan | $7 - $25 | 147% |
| Geha | $7 - $23 | 147% |
| Great West Healthcare | $7 - $25 | 147% |
| Health Plus Of La | $7 - $25 | 147% |
| Phcs | $8 - $26 | 168% |
| Ppo Plus | $8 - $26 | 168% |
| Sedgwick Claims Mgmt Serv | $9 - $30 | 189% |
| Workman'S Comp | $9 - $30 | 189% |
| Aarp | $10 - $33 | 210% |
| Accordia National | $10 - $33 | 210% |
| Aflac | $10 - $33 | 210% |
| Alameda Alliance Forhealt | $10 - $33 | 210% |
| American Pioneer | $10 - $33 | 210% |
| Benefit Management | $10 - $33 | 210% |
| Benesys Inc | $10 - $33 | 210% |
| Business Guarantor | $10 - $33 | 210% |
| Chubb | $10 - $33 | 210% |
| Commercial Sr. Care | $10 - $33 | 210% |
| Employee Benefit Services | $10 - $33 | 210% |
| Family Life Insurance Co | $10 - $33 | 210% |
| Farm Bureau Insurance | $10 - $33 | 210% |
| Fiserv Health Benefit | $10 - $33 | 210% |
| Gmp | $10 - $33 | 210% |
| Group And Pension Admin | $10 - $33 | 210% |
| Group Resources | $10 - $33 | 210% |
| Haik Minvielle And Grubbs | $10 - $33 | 210% |
| Harrington Benefit Svs | $10 - $33 | 210% |
| Health Design Plus | $10 - $33 | 210% |
| Health Plan | $10 - $33 | 210% |
| Healthscope Benefits | $10 - $33 | 210% |
| Insurance Management Admi | $10 - $33 | 210% |
| Jefferson National | $10 - $33 | 210% |
| John Alden Health Ins | $10 - $33 | 210% |
| John Hancock | $10 - $33 | 210% |
| Liberty Mutual | $10 - $33 | 210% |
| Mailhandlers Benefit Plan | $10 - $33 | 210% |
| Manhattan Life Ins Co | $10 - $33 | 210% |
| Mega Life And Health | $10 - $33 | 210% |
| Msa Careguard | $10 - $33 | 210% |
| Mutual Of Omaha | $10 - $33 | 210% |
| Nalc Health Benefit Plan | $10 - $33 | 210% |
| Naphcare Inc. | $10 - $33 | 210% |
| New Era Life Ins Co | $10 - $33 | 210% |
| Physicians Mutual | $10 - $33 | 210% |
| Principal Financial Group | $10 - $33 | 210% |
| Prudential Healthcare | $10 - $33 | 210% |
| Self Pay | $10 - $33 | 210% |
| State Farm | $10 - $33 | 210% |
| State Farm Insurance | $10 - $33 | 210% |
| State Mutual Insurance Co | $10 - $33 | 210% |
| Sterling Investors Life | $10 - $33 | 210% |
| Tower Life | $10 - $33 | 210% |
| Transamerica Premier Ins | $10 - $33 | 210% |
| United American | $10 - $33 | 210% |
| United Comm Travelers | $10 - $33 | 210% |
| United Teachers | $10 - $33 | 210% |
| Usable Administrator | $10 - $33 | 210% |
| Visn 16 Cfu | $10 - $33 | 210% |
| Wausau Benefits | $10 - $33 | 210% |
| Webtpa | $10 - $33 | 210% |
| Wells Fargo | $10 - $33 | 210% |
| Woodmen Of The World | $10 - $33 | 210% |