CMS Price Transparency Data

Blood test, potassium

Facility: Medical City North Hills

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $7
  • Cash Discount Price: $292
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Medical City North Hills is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $292. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.47x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$292

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: $292 (6134%)
Insurance Median: $7 (147%)
Cash: $292 (6134% 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
Cook Childrens Health Plan $3 63%
Aetna $4 - $212 84%
Amerigroup $4 - $5 84%
Cigna $4 - $233 84%
Molina $4 - $5 84%
Parkland Community Health Plan $4 84%
United $4 - $63 84%
American Health Plan Of Texas, Inc. $5 105%
Blue Cross Blue Shield $5 - $130 105%
Care N Care $5 105%
Cenpatico $5 105%
Devoted Health $5 105%
Humana $5 - $51 105%
Imperial Insurance Company $5 105%
Integranet $5 105%
Mutual Of Omaha $5 105%
Procare Advantge $5 105%
Provider Partners Health Plan $5 105%
Superior Health Plan $5 - $20 105%
Texas Independent Health Plan $5 105%
Triwest Health Alliance $5 105%
Triwest Veterans $5 105%
Wellcare $5 105%
Wellmed $5 105%
Universal Healthcare Group $6 126%
Verda Health Plan $6 126%
Bravo Health $7 147%
Corvel Corporation $9 189%
Superior $9 - $11 189%
Usa Managed Care $9 - $233 189%
Molina Healthcare $12 252%
Oscar $12 252%
Unicare $61 - $292 1282%
Healthcare Highways $71 - $99 1492%
Evry Health $75 1576%
City Of Mckinney $131 2752%
Fidelis Securecare $131 2752%
National Choicecare $146 3067%
Pc Texas Partners $160 3361%
Physicians Coop Of Tx $160 3361%
Rockport Health Group $160 3361%
Averde Health, Inc $169 3550%
Magellan Behavior Health $175 3676%
Coastal Comp Health Networks $204 4286%
Mega Life $204 4286%
Multiplan Phcs $204 4286%
Healthsmart Preferred Care $219 4601%
Lewisville Isd/Dls Consulting $219 4601%
Usc Health Services $233 4895%
Galaxy Health Network $248 5210%
Independent Medical Systems $292 6134%
National Healthcare Solutions $292 6134%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals