CMS Price Transparency Data

Blood test, potassium

Facility: Merit Health River Oaks

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $4
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Merit Health River Oaks is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 0.84x the Medicare baseline. Located in 1030 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $42 (882%)
Insurance Median: $4 (84%)
Cash: $42 (882% of Medicare)
Ins. Median: $4 (84% 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
First Choice Coventry $1 - $240 21%
First Choice Mpcn Standard $1 - $254 21%
First Choice Ppo Plus $1 - $254 21%
First Choice Standard $1 - $213 21%
Phcs $1 - $277 21%
Self Pay $1 - $102 21%
Trimed Billing Solutions $1 - $139 21%
UnitedHealthcare $1 - $123 21%
Advanced Health Systems $2 - $9 42%
Aetna $2 - $323 42%
American Health Group $2 - $393 42%
Beech Street $2 - $393 42%
Benefit Administration Services $2 - $393 42%
Benefit Management Systems $2 - $393 42%
Blue Cross Blue Shield $2 - $8 42%
Citizens State Bank Inc $2 - $393 42%
First Choice Stratose $2 - $370 42%
Formost $2 - $393 42%
Humana $2 - $5 42%
Medicaid / KanCare $2 - $5 42%
Medicare (plans) $2 - $5 42%
Molina $2 - $5 42%
Molina Exchange $2 - $8 42%
Ms Dept Of Rehabilitation Services $2 - $462 42%
Ms State Hospital Of Whitfield Ms $2 - $176 42%
Node Champva $2 - $5 42%
Node Devoted Health Mcr Adv $2 - $5 42%
Node First Choice American Health Mcr Adv $2 - $5 42%
Node First Choice Seven Corners $2 - $8 42%
Node First Choice Shared Health Of Ms Mcr Adv $2 - $5 42%
Node First Choice Wellcare Mcr Adv $2 - $5 42%
Node Healthy Mississippi Mcr Adv $2 - $5 42%
Node Hospice Non Par Agree $2 - $5 42%
Node Va $2 - $5 42%
Node Vantage Health Mcr Adv $2 - $5 42%
One Health Plan $2 - $416 42%
Prime Health Services $2 - $370 42%
Tricare $2 - $4 42%
Usa Mco $2 - $393 42%
Veterans Eval Services $2 - $5 42%
First Choice Preferred $3 - $7 63%
Node First Choice Occunet $3 - $7 63%
Node Us Dept Of Labor $3 - $6 63%
Caresource Truecare $4 84%
Magnolia Exchange $4 - $8 84%
Magnolia Mcd Chip $4 84%
First Choice Lgp $5 - $10 105%
Molina Chip $5 105%
Vantage Health Commercial $5 - $11 105%
Ms Work Comp $8 168%
Prime Health Wc $8 168%
Cigna $92 1933%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1030 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals