CMS Price Transparency Data

Blood test, potassium

Facility: Novant Health Medical Park Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $44
Cash Discount Price: $42
vs. Medicare Baseline: 9.24x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Novant Health Medical Park Hospital is $44. 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 9.24x the Medicare baseline. Located in 1950 S Hawthorne Rd, Winston-Salem, NC.

Cash / Self-Pay

$42

Average discount available for prompt cash payment at this facility.

Insurance Median

$44

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: $44 (924%)

Cash: $42 (882% of Medicare)

Ins. Median: $44 (924% 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 924% of the Medicare baseline (a markup of 824%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$5 - $56	105%
Blue Cross Blue Shield	$5 - $50	105%
Cigna	$5 - $42	105%
Humana	$5 - $55	105%
Liberty Health	$5	105%
Pace Of The Southern Piedmont	$5	105%
UnitedHealthcare	$5 - $47	105%
Nc Department Of Public Safety	$10 - $17	210%
Amerihealth	$17	357%
Carolina Complete	$17	357%
Wellcare	$17	357%
Caresource North Carolina	$28	588%
Atlantic Corporation Dba Atlantic Packaging	$40	840%
Plotkin Health	$42	882%
Amps	$46	966%
Medcost	$60 - $66	1261%
Primary Physician Care	$62	1303%
Beechstreet	$63	1324%
Multiplan	$63	1324%
Phcs	$63	1324%
Employers Choice Network	$68	1429%
Three Rivers Provider Network	$68	1429%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $42.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84132.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Novant Health Medical Park Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84132.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.