CMS Price Transparency Data

Blood test, potassium

Facility: Hill Country Memorial Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $202
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Hill Country Memorial Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $202. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 1020 South State Highway 16, Fredericksburg, TX.
Cash / Self-Pay
$202

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $202 (4244%)
Insurance Median: $5 (105%)
Cash: $202 (4244% of Medicare)
Ins. Median: $5 (105% 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 - $5 84%
Community First Health Plans $4 - $54 84%
Molina Healthcare $4 - $8 84%
United $4 - $91 84%
Wellmed $4 84%
Blue Cross Blue Shield $5 - $59 105%
Gonzaba Medical Group $5 105%
Ilumed $5 105%
Superior Health $5 - $10 105%
Triwest $5 105%
Triwest Health Alliance $5 105%
Wellcare $5 105%
Cigna $8 - $10 168%
Superior $8 168%
Healthcare Highways $11 231%
Healthsmart Preferred Care $111 2332%
Multiplan $151 - $171 3172%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1020 South State Highway 16, Fredericksburg, TX 78624
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals