CMS Price Transparency Data

Blood test, potassium

Facility: Medical City Dallas Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $37
  • Cash Discount Price: $710
  • vs. Medicare Baseline: 7.77x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Medical City Dallas Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $710. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 7.77x the Medicare baseline. Located in 7777 Forest Lane, Dallas, TX.
Cash / Self-Pay
$710

Average discount available for prompt cash payment at this facility.

Insurance Median
$37

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: $710 (14916%)
Insurance Median: $37 (777%)
Cash: $710 (14916% of Medicare)
Ins. Median: $37 (777% 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 777% of the Medicare baseline (a markup of 677%). 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
Cook Childrens Health Plan $3 63%
Aetna $4 - $421 84%
Amerigroup $4 - $5 84%
Cigna $4 - $393 84%
Molina $4 - $5 84%
Parkland Community Health Plan $4 84%
Texas Health Network $4 84%
United $4 - $154 84%
American Health Plan Of Texas, Inc. $5 105%
Blue Cross Blue Shield $5 - $317 105%
Care N Care $5 105%
Devoted Health $5 105%
Humana $5 - $51 105%
Imperial Insurance Company $5 105%
Integranet $5 105%
Mutual Of Omaha $5 105%
Procare Advantge $5 105%
Provider Partners Health Plan $5 105%
Superior Health Plan $5 - $50 105%
Texas Independent Health Plan $5 105%
Triwest Health Alliance $5 105%
Triwest Veterans $5 105%
Wellcare $5 105%
Wellmed $5 105%
Universal Healthcare Group $6 126%
Verda Health Plan $6 126%
Bravo Health $7 147%
Corvel Corporation $9 189%
Superior $9 - $11 189%
Usa Managed Care $9 - $572 189%
Molina Healthcare $12 252%
Oscar $12 252%
UnitedHealthcare $78 - $636 1639%
Religious Order Of Jehovah Witness $141 - $143 2962%
Unicare $169 - $715 3550%
Healthcare Highways $173 - $242 3634%
Healthcare Highways Ntx $180 - $250 3782%
Evry Health $182 - $184 3824%
Prominence Health Plan $282 - $286 5924%
City Of Mckinney $317 - $322 6660%
Fidelis Securecare $317 - $322 6660%
Emerging Therapy Solutions $346 - $500 7269%
National Choicecare $353 - $357 7416%
Pc Texas Partners $388 - $393 8151%
Physicians Coop Of Tx $388 - $393 8151%
Rockport Health Group $388 - $393 8151%
Texas Instruments $395 - $400 8298%
Averde Health, Inc $409 - $415 8592%
Coastal Comp Health Networks $494 - $500 10378%
Mega Life $494 - $500 10378%
Multiplan Phcs $494 - $500 10378%
Healthsmart Preferred Care $501 - $508 10525%
Lewisville Isd/Dls Consulting $529 - $536 11113%
Usc Health Services $564 - $572 11849%
Galaxy Health Network $599 - $608 12584%
Independent Medical Systems $705 - $715 14811%
National Healthcare Solutions $705 - $715 14811%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7777 Forest Lane, Dallas, TX 75230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals