CMS Price Transparency Data

Blood test, potassium

Facility: Merit Health Women's Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $57
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Merit Health Women's Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 1026 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$57

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: $57 (1197%)
Insurance Median: $5 (105%)
Cash: $57 (1197% 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
Cigna $1 - $117 21%
Self Pay $1 - $118 21%
Trimed Billing Solutions $1 - $161 21%
UnitedHealthcare $1 - $153 21%
Coventry First Health $2 - $279 42%
First Choice Mpcn $2 - $241 42%
First Choice Standard $2 - $247 42%
State Hospital $2 - $204 42%
Aetna $3 - $375 63%
Benefit Management Systems $3 - $456 63%
First Choice Ppo Plus $3 - $295 63%
Caresource Truecare $4 84%
First Choice Stratose $4 - $429 84%
Health Choice Of Mississippi $4 - $429 84%
Magnolia Mcd Ms Chip $4 84%
Medicaid / KanCare $4 - $5 84%
Prime Health Services $4 - $429 84%
Tricare $4 84%
Advanced Health Systems $5 - $9 105%
Blue Cross Blue Shield $5 - $8 105%
Humana $5 105%
Medicare (plans) $5 105%
Mississippi Department Of Rehabilitation Services $5 - $536 105%
Molina Chip $5 105%
Molina Exchange $5 - $8 105%
Ms Work Comp $5 - $536 105%
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 Seven Corners $5 - $8 105%
Node First Choice Wellcare Mcr Adv $5 105%
Node Healthy Mississippi Mcr Adv $5 105%
Node Molina Mcr Adv $5 105%
Node Shared Health Of Ms 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%
Occunet $7 147%
Magnolia Exchange $8 168%
First Choice Lgp $10 210%
Vantage Health $11 231%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1026 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals