CMS Price Transparency Data

Blood test, potassium

Facility: Navarro Regional Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $15
  • Cash Discount Price: $89
  • vs. Medicare Baseline: 3.15x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Navarro Regional Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 3.15x the Medicare baseline. Located in 3201 West Highway 22, Corsicana, TX.
Cash / Self-Pay
$89

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $89 (1870%)
Insurance Median: $15 (315%)
Cash: $89 (1870% of Medicare)
Ins. Median: $15 (315% 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 315% of the Medicare baseline (a markup of 215%). 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
Aetna $5 - $190 105%
Humana $5 105%
Medicare (plans) $5 105%
Molina $5 - $18 105%
Node Amerigroup Mcr Adv $5 105%
Node Champva $5 105%
Node Hospice Non Par Agree $5 105%
Node Va $5 105%
Provider Partners Health Plan $5 105%
Superior $5 - $19 105%
Tricare $5 105%
Triwest $5 105%
UnitedHealthcare $5 - $134 105%
Veterans Eval Services $5 105%
Blue Cross Blue Shield $6 - $190 126%
Node Us Dept Of Labor $6 126%
Amerigroup $7 147%
Medicaid / KanCare $7 - $20 147%
Parkland $7 147%
Brookshire Brothers $8 168%
Citizens National $8 168%
Healthsmart $9 - $211 189%
Node Brookshire Brothers Work Comp Tx $9 189%
Usa Managed Care Org $9 189%
Cigna $10 - $170 210%
Work Comp $10 210%
Parkland Community Health Plan $19 399%
Self Pay $21 - $51 441%
Multiplan $247 - $286 5189%
Health Headquarters $256 5378%
Unicare $271 5693%
Usa Group Health $271 5693%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3201 West Highway 22, Corsicana, TX 75110
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals