CMS Price Transparency Data

Blood test, potassium

Facility: Southern Hills Hospital and Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $318
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Southern Hills Hospital and Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $318. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.
Cash / Self-Pay
$318

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: $318 (6681%)
Insurance Median: $5 (105%)
Cash: $318 (6681% 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
Ambetter / Centene $3 - $5 63%
Caresource $3 63%
Community Care Health $3 63%
Molina Healthcare $3 63%
Sierra Hpn $3 63%
Alignment Health Plan $5 105%
Blue Cross Blue Shield $5 - $6 105%
Caremore $5 105%
Health Net $5 105%
Health Services Coalition $5 105%
Hometown Health Mcr $5 105%
Humana $5 105%
Imperial Nv $5 105%
Select Health $5 - $73 105%
Sierra $5 105%
Triwest $5 105%
United $5 - $69 105%
Universal Healthcare $6 126%
Aetna $8 168%
Cigna $12 252%
Corvel $18 378%
Olympus Medsave Usa $19 - $238 399%
Prominence Healthfirst $95 1996%
Cmn Global $134 2815%
Evernorth $159 3340%
Hometown Health Providers $159 3340%
Nv Health & Welfare Trust $191 4013%
Multiplan $200 - $232 4202%
First Health $210 - $254 4412%
Medcare International $238 5000%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 West Sunset Rd, Las Vegas, NV 89148
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals