CMS Price Transparency Data

Blood test, potassium

Facility: Bailey Medical Center, LLC

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $160
  • Cash Discount Price: $71
  • vs. Medicare Baseline: 33.61x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Bailey Medical Center, LLC is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 33.61x the Medicare baseline. Located in 10502 North 110Th East Avenue, Owasso, OK.
Cash / Self-Pay
$71

Average discount available for prompt cash payment at this facility.

Insurance Median
$160

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: $71 (1492%)
Insurance Median: $160 (3361%)
Cash: $71 (1492% of Medicare)
Ins. Median: $160 (3361% 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 3361% of the Medicare baseline (a markup of 3261%). 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
Healthcare Highways [2210] $59 - $65 1239%
Hooray Health [8000] $59 1239%
Oncology Patient Assistance Programs [2295] $59 1239%
Oscar Insurance Company [7005] $59 1239%
Osma Health Network [2345] $59 1239%
Healthscope Benefits [2290] $62 1303%
UnitedHealthcare $62 1303%
Resource One Administrators [2815] $65 1366%
Web Tpa [2115] $65 1366%
The Kempton Group Administrators [2905] $106 2227%
First Health [1375] $119 - $194 2500%
Medica [2910] $119 2500%
Multiplan [1680] $119 - $194 2500%
Cigna $120 2521%
Healthpartners [1500] $120 2521%
National Association Of Letter Carriers [1695] $120 2521%
Pba [1775] $120 2521%
Healthcare Solutions [1485] $135 2836%
Community Care [1290] $186 3908%
Employee Benefit Management Services [2445] $186 3908%
Fmh Benefit Services [1390] $186 3908%
Group Resources [1455] $186 3908%
Phcs [1780] $186 - $194 3908%
Gilsbar [1425] $194 4076%
Healthcost Solutions [2415] $194 4076%
Healthfirst [2395] $194 4076%
Healthnet [1495] $194 4076%
Hometown Health [2155] $194 4076%
Mayo Clinic Health Solutions [2280] $194 4076%
Mutual Of Omaha [1685] $194 4076%
New Era Life Insurance Company [1705] $194 4076%
Pan American Life Insurance Co [1770] $194 4076%
Planned Administrators Inc [2360] $194 4076%
Trustmark [2030] $194 4076%
Universal Fidelity [2085] $194 4076%
Healthsmart [1505] $201 4223%
Pending Ssi [1616] $236 4958%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10502 North 110Th East Avenue, Owasso, OK 74055
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals