CMS Price Transparency Data

Blood test, potassium

Facility: Merit Health Wesley

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $9
  • Cash Discount Price: $91
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Merit Health Wesley is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $91. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.89x the Medicare baseline. Located in 5001 W Hardy St, Hattiesburg, MS.
Cash / Self-Pay
$91

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $91 (1912%)
Insurance Median: $9 (189%)
Cash: $91 (1912% of Medicare)
Ins. Median: $9 (189% 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
Medicaid / KanCare $3 - $5 63%
Caresource Truecare $4 84%
Magnolia $4 - $5 84%
Magnolia Mcd Ms Chip $4 84%
Tricare $4 84%
UnitedHealthcare $4 - $42 84%
Aetna $5 - $157 105%
First Choice $5 - $301 105%
Humana $5 105%
Medicare (plans) $5 105%
Molina $5 105%
Molina Chip $5 105%
Node Champva $5 105%
Node Devoted Health Mcr Adv $5 105%
Node First Choice American Health Mcr Adv $5 105%
Node First Choice Wellcare Mcr Adv $5 105%
Node Healthy Mississippi Mcr Adv $5 105%
Node Hospice Non Par Agree $5 105%
Node Va $5 105%
Node Vantage Mcr Adv $5 105%
Veterans Eval Services $5 105%
Node Us Dept Of Labor $6 126%
Blue Cross Blue Shield $8 168%
First Choice Molina $8 168%
Magnolia Exchange $8 168%
Molina Exchange $8 168%
Ms Work Comp $8 168%
Advanced Health Systems $9 189%
First Choice Lgp $10 210%
Vantage Health $11 231%
Chs Group Health Plan $69 - $75 1450%
Self Pay $72 - $113 1513%
Cigna $97 - $106 2038%
Trimed Billing Solutions $103 - $113 2164%
Benefit Management Services $223 - $244 4685%
Coventry First Health $257 - $282 5399%
Ms Dept Of Rehabilitation Services $343 - $376 7206%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5001 W Hardy St, Hattiesburg, MS 39402
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals