CMS Price Transparency Data

Blood test, potassium

Facility: Crossgates River Oaks Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $3
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Crossgates River Oaks Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 350 Crossgates Blvd, Brandon, MS.
Cash / Self-Pay
$3

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $3 (63%)
Insurance Median: $5 (105%)
Cash: $3 (63% of Medicare)
Ins. Median: $5 (105% 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
Self Pay $1 - $131 21%
Trimed Billing Solutions $1 - $141 21%
UnitedHealthcare $1 - $136 21%
Cigna $2 - $328 42%
First Choice Coventry $2 - $244 42%
First Choice Standard $2 - $216 42%
Ms State Hospital Of Whitfield $2 - $178 42%
Aetna $3 - $328 63%
Benefit Management Systems $3 - $399 63%
First Choice Mpcn Standard $3 - $258 63%
First Choice Ppo Plus $3 - $258 63%
Phcs $3 - $281 63%
American Health Group $4 - $399 84%
Beech Street $4 - $399 84%
Caresource Truecare $4 84%
First Choice Stratose $4 - $375 84%
Ibew $4 - $399 84%
Magnolia Mcd Chip $4 84%
Medicaid / KanCare $4 - $5 84%
One Health Plan $4 - $422 84%
Prime Health Services $4 - $375 84%
Tricare $4 84%
Advanced Health Systems $5 - $9 105%
Blue Cross Blue Shield $5 - $8 105%
First Choice Lgp $5 - $10 105%
Humana $5 105%
Medicare (plans) $5 105%
Molina $5 105%
Molina Chip $5 105%
Molina Exchange $5 - $8 105%
Ms Dept Of Rehabilitation Services $5 - $469 105%
Node Champva $5 105%
Node Devoted Health Mcr Adv $5 105%
Node First Choice American Health Of Ms Mcr Adv $5 105%
Node First Choice Shared Health Of Ms 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 Magnolia Mcr Adv $5 105%
Node Va $5 105%
Node Vantage Health Mcr Adv $5 105%
Node Windsor Mcr Adv $5 105%
Veterans Eval Services $5 105%
Node Us Dept Of Labor $6 126%
First Choice Preferred $7 147%
Node First Choice Occunet $7 147%
Ms Work Comp $8 168%
Node Magnolia Exchange $8 168%
Prime Health Wc $8 168%
Vantage Health Commercial $11 231%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Crossgates Blvd, Brandon, MS 39042
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals