CMS Price Transparency Data

Blood test, potassium

Facility: Oklahoma Heart Hospital South, LLC

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $39
  • Cash Discount Price: $6,473
  • vs. Medicare Baseline: 8.19x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Oklahoma Heart Hospital South, LLC is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,473. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 8.19x the Medicare baseline. Located in 5200 East I-240 Service Road, Oklahoma City, OK.
Cash / Self-Pay
$6,473

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $6,473 (135987%)
Insurance Median: $39 (819%)
Cash: $6,473 (135987% of Medicare)
Ins. Median: $39 (819% 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 819% of the Medicare baseline (a markup of 719%). 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
Aetna $4 - $10,052 84%
Humana $4 - $10,052 84%
Blue Cross Blue Shield $5 - $53,535 105%
Cigna $5 - $10,052 105%
Geha $5 - $10,678 105%
Medicare (plans) $5 - $10,354 105%
UnitedHealthcare $5 - $10,678 105%
Va Ccn $5 - $10,052 105%
Ambetter / Centene $7 - $14,073 147%
Community Care $10 - $20,105 210%
The Kempton Group $12 - $25,131 252%
Healthcare Highways $15 - $36 315%
Healthscope $28 588%
Oscar Insurance Company $28 588%
Webtpa Chickasaw Nation Hch $28 588%
Webtpa Hobby Lobby Hch $32 672%
Coventry $35 - $17,763 735%
Global Health $38 798%
Sana Benefits $39 819%
Ufcw $39 819%
First Health Network $41 861%
Manhattan Life $41 861%
Phcs $42 882%
Preferred Community Choice $46 966%
Multiplan $54 1134%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5200 East I-240 Service Road, Oklahoma City, OK 73135
  • CMS Rating: ★★★★★
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals