CMS Price Transparency Data

Blood test, potassium

Facility: Freestone Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $8
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Freestone Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.68x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $26 (546%)
Insurance Median: $8 (168%)
Cash: $26 (546% of Medicare)
Ins. Median: $8 (168% 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
Amerigroup $3 - $11 63%
Gilsbar $3 - $38 63%
Aarp $4 84%
Apwu $4 84%
Fringe Benefits $4 84%
Geha $4 84%
Mcaid $4 - $8 84%
Misc Mcaid Hmo $4 - $11 84%
Superior Health Chip $4 - $8 84%
Tx Childrens Mcaid $4 - $8 84%
Uhcss $4 84%
UnitedHealthcare $4 - $11 84%
Aarp Mcare /Wellmed $5 105%
Aetna $5 - $30 105%
Allwell Superior Hlth $5 105%
Ambetter / Centene $5 105%
Blue Cross Blue Shield $5 - $34 105%
Care Improvement Plus $5 105%
Champva $5 105%
Humana $5 - $38 105%
Medicaid / KanCare $5 - $17 105%
Medicare (plans) $5 105%
Misc Mcare Replacement $5 105%
Pphp Prov Part Hlth Plan $5 105%
Rightcare S&W Mcaid $5 - $11 105%
Scott & White Senior Care $5 105%
Superior Health Mcd $5 - $17 105%
Superior Hlth Mcare Repl $5 105%
Tricare $5 105%
Triwest $5 105%
Triwest Va Ccn Claims $5 105%
Utmb Corr Mgd Care $5 105%
Va Vha Office Comm Care $5 105%
Veteran'S Administration $5 105%
Wellmed $5 105%
Scott & White Commercial $6 126%
Scott & White Employees $6 126%
Workers Compensation $10 210%
Cigna $23 483%
Misc Multiplan $26 546%
Misc Multiplan Auto $26 546%
Misc Multiplan Workcomp $26 546%
Self Pay Gt 083123 $26 546%
Self Pay Lt 090123 $26 546%
Aflac $38 798%
Bankers Life $38 798%
Fairview Nursing Home $38 798%
Icare $38 798%
Inmate Freestone Co $38 798%
Misc Hospice $38 798%
Miscellaneous $38 798%
Miscellaneous Auto $38 798%
Mutual Of Omaha $38 798%
North American Med Empl $38 798%
Standard Life Insurance $38 798%
Tml $38 798%
Zelis Healthcare $38 798%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 125 Newman St, Fairfield, TX 75840
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals