CMS Price Transparency Data

Blood test, potassium

Facility: Southern Coos Hospital & Health Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $44
  • Cash Discount Price: $126
  • vs. Medicare Baseline: 9.24x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Southern Coos Hospital & Health Center is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 9.24x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.
Cash / Self-Pay
$126

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: $126 (2647%)
Insurance Median: $44 (924%)
Cash: $126 (2647% 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.

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
Healthnet - All Plans $2 - $10 42%
Tricare $27 - $119 567%
Advanced Health - All Plans $29 - $129 609%
Aetna $31 - $185 651%
Atrio Mcr Adv - Allplans $31 - $135 651%
Confederated Tribes - All Plans $31 - $135 651%
Moda Mcr Adv $31 - $135 651%
Pacific Source Mcr Adv $31 - $135 651%
Cigna $37 - $162 777%
Moda Health Plan - All Other Plans $42 - $183 882%
Prov Netwrk Of America - All Plans $42 - $185 882%
Three Rivers - All Plans $42 - $185 882%
UnitedHealthcare $42 - $185 882%
First Choice - All Plans $43 - $189 903%
Blue Cross Blue Shield $44 - $191 924%
First Health - All Plans $44 - $195 924%
Multiplan - All Plans $44 - $191 924%
Pacific Source - All Other Plans $44 - $195 924%
Providence Preferred - All Plans $44 - $195 924%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 11Th Street Se, Bandon, OR 97411
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals