CMS Price Transparency Data

Blood test, potassium

Facility: De Tar Hospital Navarro

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $7
  • Cash Discount Price: $72
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at De Tar Hospital Navarro is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.47x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$72

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: $72 (1513%)
Insurance Median: $7 (147%)
Cash: $72 (1513% 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
Blue Cross Blue Shield $4 - $59 84%
Medicaid / KanCare $4 - $13 84%
Scott & White $4 84%
Superior $4 - $10 84%
UnitedHealthcare $4 - $81 84%
Aetna $5 - $161 105%
American Health Mcr Adv $5 105%
Department Of Veterans Affairs $5 105%
Humana $5 105%
Industrial Rehab $5 105%
Medicare (plans) $5 105%
Node Amerigroup Mcr Adv $5 105%
Node Hospice Non Par Agree $5 105%
Node Procare Mcr Adv $5 105%
Node Triwest $5 105%
Node Va $5 105%
Provider Partners Health Plan $5 105%
Tricare $5 105%
Veterans Eval Services $5 105%
Node Us Dept Of Labor $6 126%
Node Brookshire Brothers $8 168%
Amerigroup $9 189%
Node Brookshire Brothers Work Comp Tx $9 189%
Elap $10 210%
Work Comp $10 210%
Dars $65 1366%
Tx Workforce Commission $65 1366%
Cigna $67 - $122 1408%
Healthsmart $156 - $198 3277%
Multiplan $184 - $226 3866%
First Health $192 4034%
Medcorp Southwest Inc $198 4160%
Sane $250 5252%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals