CMS Price Transparency Data

Blood test, potassium

Facility: The Medical Center of Southeast Texas

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $6
  • Cash Discount Price: $267
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at The Medical Center of Southeast Texas is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $267. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.26x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.
Cash / Self-Pay
$267

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $267 (5609%)
Insurance Median: $6 (126%)
Cash: $267 (5609% of Medicare)
Ins. Median: $6 (126% 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
UnitedHealthcare $3 - $6 63%
Community Health Choice $4 - $6 84%
Community Health Choice Uhrip $4 84%
Harbor Hospice $4 84%
Humana $4 - $12 84%
Medicaid / KanCare $4 - $5 84%
Medsolutions $4 84%
Molina Healthcare $4 - $6 84%
Superior Healthplan $4 - $5 84%
Texas Childrens Health Plan $4 84%
Amerigroup $5 - $21 105%
Beacon Health $5 105%
Blue Cross Blue Shield $5 - $110 105%
Caresact $5 105%
Cccn Pro Advantage $5 105%
Cigna $5 - $187 105%
Employer Direct Healthcare $5 - $6 105%
Healthspring $5 105%
Hospice $5 105%
League Medical Concepts $5 105%
Medicare (plans) $5 105%
Provider Partners Health Plan $5 105%
Rice Land Hospice $5 105%
Selectcare $5 105%
Texas Medical Management Partners $5 - $6 105%
Tihp (Texas Independence Health Plan) $5 105%
Tricare $5 105%
Triwest $5 105%
Wellcare Of Texas $5 105%
Wellpath $5 105%
Corporate Remedies $7 147%
Elap Services $9 189%
Texas Workers Compensation $10 210%
Self Pay Emergent $40 840%
Dept Of Assistive And Rehabilitative Services $134 2815%
Aetna $155 - $176 3256%
Iasis Employees $160 3361%
Magellan Behavioral Health $160 3361%
First Health $187 3929%
Galaxy Health Network $187 3929%
Private Healthcare Systems $187 3929%
Texas Municipal League $187 3929%
Healthsmart $200 4202%
Multiplan $214 4496%
Commercial Non-Contracted $267 5609%
Heart To Heart Hospice $267 5609%
Lifesynch $267 5609%
Mhnet $267 5609%
Self Pay - Mcd Pending 100 Percent $267 5609%
Single Case Agreement $267 5609%
United Behavioral Health $267 5609%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals