CMS Price Transparency Data

Blood test, potassium

Facility: Valley Regional Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $9
  • Cash Discount Price: $656
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Valley Regional Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $656. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.89x the Medicare baseline. Located in 100 A Alton Gloor, Brownsville, TX.
Cash / Self-Pay
$656

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $656 (13782%)
Insurance Median: $9 (189%)
Cash: $656 (13782% of Medicare)
Ins. Median: $9 (189% 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 - $50 84%
Driscoll Childrens Health Plan $4 84%
Molina Healthcare $4 - $10 84%
Texas Health Network $4 84%
United $4 - $295 84%
Usa Mco $4 84%
American Health Plan $5 105%
Blue Cross Blue Shield $5 - $295 105%
Cigna $5 - $17 105%
Humana $5 - $59 105%
Independent Medical System $5 105%
Molina $5 105%
Physicians Health Choice $5 105%
Prominence Health $5 105%
Provider Partners Health Plan Of Texas $5 105%
Shared Health $5 105%
Superior Health Plan $5 - $46 105%
Triwest Healthcare Alliance $5 105%
Wellmed $5 105%
Superior $7 147%
Corvel Corporation $9 189%
Omni Healthcare $10 210%
Oscar $11 231%
Healthcare Highways $14 294%
Texas Workforce Commission $157 3298%
Averde Health $216 4538%
Healthsmart Preferred Care $282 - $557 5924%
First Health $377 7920%
National Healthcare Solutions $393 8256%
Southwest Medical $393 8256%
Coastal Comp $426 8950%
Total E&P Mexico $426 8950%
Affiliated Healthcare $446 9370%
Mcm Maxcare $524 11008%
Pronet Ppo $524 11008%
Usa Managed Care $524 11008%
Beech Street $590 12395%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 A Alton Gloor, Brownsville, TX 78526
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals