CMS Price Transparency Data

Blood test, potassium

Facility: HCA Houston Healthcare Southeast

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $7
  • Cash Discount Price: $614
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at HCA Houston Healthcare Southeast is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $614. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.47x the Medicare baseline. Located in 4000 Spencer Hwy, Pasadena, TX.
Cash / Self-Pay
$614

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: $614 (12899%)
Insurance Median: $7 (147%)
Cash: $614 (12899% 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
Aetna $4 - $31 84%
Amerigroup $4 - $5 84%
Community Health Choice Mcd $4 84%
Molina Healthcare $4 - $10 84%
Texas Childrens Health Plans $4 - $108 84%
Texas Health Network $4 84%
United $4 - $276 84%
American Health Plan $5 105%
Blue Cross Blue Shield $5 - $215 105%
Chc Harris Health $5 105%
Christus (Usfhp) $5 105%
Cigna $5 - $491 105%
Devoted Health $5 105%
Humana $5 - $61 105%
Integranet Amerigroup Ipa $5 105%
Kelsey Seybold $5 105%
Kindred Hospital $5 105%
Molina $5 105%
Oscar $5 - $14 105%
Procare Advantage $5 105%
Provider Partners Health Plan Of Texas $5 105%
Renaissance Ipa Radiology $5 105%
Shared Health $5 105%
Superior Health Plan $5 - $37 105%
Triwest Healthcare Alliance $5 105%
Van Lang Ipa $5 105%
Wellcare $5 105%
Wellmed $5 105%
Universal Healthcare Group $6 126%
Verda Health Plan $6 126%
Community Health Choice $7 147%
Superior $7 147%
Corvel Corporation $9 189%
Omni Healthcare $10 210%
Healthcare Highways $14 294%
Texas Workforce Commission $147 3088%
Evry Health $168 3529%
Imagine Health $215 4517%
Healthsmart Preferred Care $264 - $522 5546%
Averde Health $276 5798%
Fidelis Securecare Of Tx $276 5798%
Multiplan $307 - $552 6450%
Coventry National First Health $327 6870%
Physicians Cooperative Of Texas $338 7101%
Rockport Workers Comp $338 7101%
Beech Street $368 - $491 7731%
Independent Medical System $368 7731%
National Healthcare Solutions $368 7731%
Prime Health Services $368 7731%
Southwest Medical $368 7731%
Coastal Comp $399 8382%
Fiesta Mart, Inc $460 9664%
Physicians, Inc $522 10966%
Affiliated Ppo $552 11597%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Spencer Hwy, Pasadena, TX 77504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals