CMS Price Transparency Data

Blood test, potassium

Facility: Tristar Skyline Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $348
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Tristar Skyline Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $348. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 3441 Dickerson Pike, Nashville, TN.
Cash / Self-Pay
$348

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: $348 (7311%)
Insurance Median: $5 (105%)
Cash: $348 (7311% 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
Wellpoint $2 42%
Aetna $4 - $174 84%
Alive Hospice $5 105%
Ambetter / Centene $5 105%
American Health Advantage $5 105%
Amerigroup $5 105%
Atrio Golden Times $5 105%
Blue Cross Blue Shield $5 - $26 105%
Bright Health $5 105%
Devoted Health Plan $5 105%
Evergreen Hmo $5 105%
Healthspring $5 105%
Humana $5 - $226 105%
Odyssey Healthcare $5 105%
Sarah Cannon Research $5 105%
Signature Advantage $5 105%
United $5 - $157 105%
Wellcare $5 105%
Zing $5 105%
Corvel Corporation $7 147%
Novanet $7 147%
Prime Health $7 - $307 147%
Cigna $9 - $114 189%
Oscar $14 294%
Kentucky Labor Cabinet $64 1345%
Nhc Advantage, Inc. $66 1387%
Pruitt Health (Allyalign) $66 1387%
Centurion $144 3025%
Bgfh Singlesource $174 - $296 3655%
Employers Health Network $244 5126%
Mhnet $261 5483%
Odom'S Tn Pride Sausage $261 5483%
Multiplan $286 6008%
Beech Street $307 6450%
Triwest Healthcare $341 7164%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3441 Dickerson Pike, Nashville, TN 37207
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals