CMS Price Transparency Data

Blood test, potassium

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $49
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 10.29x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at University of Texas M. D. Anderson Cancer Center is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 10.29x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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%)
Insurance Median: $49 (1029%)
Ins. Median: $49 (1029% 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 1029% of the Medicare baseline (a markup of 929%). 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
Texaschildrens $4 - $31 84%
Medicare (plans) $26 - $31 546%
Vacare $26 - $31 546%
Memorialhermannhealth $39 - $52 819%
Blue Cross Blue Shield $42 - $50 882%
Cigna $42 - $52 882%
UnitedHealthcare $42 - $52 882%
Aetna $43 - $52 903%
Humana $44 - $54 924%
Ontarioministriesofhealth $44 - $52 924%
Beijingst.Lucia $45 - $52 945%
Embassyofqatar $45 - $52 945%
Emergingtherapysolutions $45 - $56 945%
Interlink $45 - $60 945%
Tricare $45 - $52 945%
Emergingtherapysolutions_Cancercare $48 - $56 1008%
Interlink_Cancercare $48 - $56 1008%
Saudiarmedforces $48 - $56 1008%
Uae_Medical $48 - $56 1008%
Uaepoliceattache $48 - $56 1008%
Healthsmart $51 - $60 1071%
Multiplan $51 - $60 1071%
Phcs $51 - $60 1071%
Vantage $51 - $60 1071%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL