CMS Price Transparency Data

Blood test, potassium

Facility: Lake Granbury Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $36
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 7.56x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Lake Granbury Medical Center is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 7.56x the Medicare baseline. Located in 1310 Paluxy Rd, Granbury, TX.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $40 (840%)
Insurance Median: $36 (756%)
Cash: $40 (840% of Medicare)
Ins. Median: $36 (756% 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 756% of the Medicare baseline (a markup of 656%). 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 - $194 105%
American Health $5 105%
Blue Cross Blue Shield $5 - $71 105%
Cigna $5 - $111 105%
Hospice Non Par $5 105%
Humana $5 105%
Medicare (plans) $5 105%
Node Amerigroup Mcr Adv $5 105%
Node Care N Care $5 105%
Node Champva $5 105%
Node Va $5 105%
Provider Partners Health Plan $5 105%
Superior $5 - $13 105%
Tricare $5 105%
Triwest $5 105%
UnitedHealthcare $5 - $120 105%
Veterans Eval Services $5 105%
Node Us Dept Of Labor $6 126%
Self Pay $6 - $31 126%
Healthspring $7 147%
Medicaid / KanCare $7 - $145 147%
Node Brookshire Brothers $8 168%
93% Payors Work Comp Tx $9 189%
Node Brookshire Brothers Work Comp Tx $9 189%
Work Comp $10 210%
Amerigroup $15 - $40 315%
Healthsmart $58 - $197 1218%
Multiplan $79 - $248 1660%
Santa Fe Hospital Association $84 - $226 1765%
Galaxy Health $100 - $268 2101%
Medcorp Southwest $100 - $268 2101%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1310 Paluxy Rd, Granbury, TX 76048
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals