CMS Price Transparency Data

Blood test, potassium

Facility: Neshoba County General Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Neshoba County General Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$18

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: $18 (378%)
Insurance Median: $5 (105%)
Cash: $18 (378% 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
Magnolia Mcaid $4 84%
Molina Mcaid $4 84%
Mpcn Mcaid $4 84%
Tricare $4 84%
UnitedHealthcare $4 - $13 84%
Humana $5 105%
Magnolia Mcr Adv-All Other Plans $5 105%
Molina Comm-All Other Plans $5 105%
Molina Mcr Adv $5 105%
Wellcare Mcr Adv-All Plans $5 105%
First Choice Comm Ip/Op Only - All Plans $6 126%
Aetna $13 273%
Cigna $17 357%
Ahs Ip/Op Only-All Plans $20 420%
Blue Cross Blue Shield $21 441%
Affordable Health Care-All Plans $22 462%
Health Choice Ip/Op Only-All Plans $22 462%
Health Link Ip/Op Only-All Plans $22 462%
Geha-All Plans $23 483%
Multiplan-All Plans $23 483%
Mpcn Ip/Op Only-All Other Plans $32 672%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL