CMS Price Transparency Data

Blood test, potassium

Facility: Hospital Pavia Hato Rey, Inc

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $7
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Hospital Pavia Hato Rey, Inc is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.47x the Medicare baseline. Located in Ave Ponce De Leon 435, Hato Rey, PR.
Cash / Self-Pay
$47

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $47 (987%)
Insurance Median: $7 (147%)
Cash: $47 (987% of Medicare)
Ins. Median: $7 (147% 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
First Medical $4 - $8 84%
Mso $4 - $5 84%
Plan De Salud Menonita $4 - $7 84%
Medicare (plans) $5 105%
Tricare $5 105%
Triple S $5 - $9 105%
Va $5 105%
Ch $6 126%
Fondo Del Seguro Estado $6 126%
Humana $6 126%
Mcs $6 - $7 126%
Aarp $7 147%
Acaa $8 168%
Corvel Network $8 168%
Mc $8 168%
Prossam $8 168%
Bella Vista $9 189%
Bl $9 189%
Cigna $9 189%
Auxilio Salud Plus $10 210%
Mapfre $10 210%
Privado $10 210%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Ave Ponce De Leon 435, Hato Rey, PR 00919
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals