CMS Price Transparency Data

Blood test, potassium

Facility: Caromont Regional Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $15
  • Cash Discount Price: $67
  • vs. Medicare Baseline: 3.15x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Caromont Regional Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 3.15x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$67

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $67 (1408%)
Insurance Median: $15 (315%)
Cash: $67 (1408% of Medicare)
Ins. Median: $15 (315% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 315% of the Medicare baseline (a markup of 215%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Avalon $3 63%
Humana $3 - $74 63%
UnitedHealthcare $3 - $26 63%
Absolute Total Care $5 105%
Aetna $5 - $31 105%
Blue Cross Blue Shield $5 - $28 105%
Corporate Benefits Service $5 105%
Devoted Health $5 105%
Healthteam $5 105%
Longevity Health $5 105%
Molina $5 105%
Alliance Behavioral Health $8 168%
Amerihealth Caritas $8 168%
Carolina Complete Health $8 168%
Carolina Complete Health Tailored Plans $8 168%
Partners Behavioral Health $8 168%
Surgery Plus $8 168%
Vaya Behavioral Health $8 168%
Wellcare $8 168%
Cigna $9 - $15 189%
Carolina Caring $12 - $67 252%
Gaston County Jail $15 315%
Medcost $19 - $32 399%
Beech Street $40 - $69 840%
Multiplan $40 - $69 840%
Self Pay $44 - $76 924%
First Health Network $47 - $80 987%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals