CMS Price Transparency Data

Blood test, potassium

Facility: Titus Regional Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $16
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 3.36x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Titus Regional Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 3.36x the Medicare baseline. Located in 2001 N Jefferson, Mount Pleasant, TX.
Cash / Self-Pay
$28

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $28 (588%)
Insurance Median: $16 (336%)
Cash: $28 (588% of Medicare)
Ins. Median: $16 (336% 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 336% of the Medicare baseline (a markup of 236%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Healthcare Highways $2 - $40 42%
Aetna $3 - $18 63%
Christus Health Plan $5 - $8 105%
Humana $5 - $71 105%
Texas Mutual $5 - $9 105%
Tricare $5 - $8 105%
Triwest $5 - $8 105%
UnitedHealthcare $5 - $81 105%
Blue Cross Blue Shield $9 - $101 189%
Curative $9 - $61 189%
Superior $9 - $46 189%
Healthsmart $14 - $71 294%
Cigna $16 - $81 336%
Claritev $16 - $81 336%
Galaxy Health $19 - $96 399%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 N Jefferson, Mount Pleasant, TX 75455
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals