CMS Price Transparency Data

Blood test, potassium

Facility: HCA Houston Healthcare Tomball

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $372
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at HCA Houston Healthcare Tomball is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $372. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 605 Holderrieth, Tomball, TX.
Cash / Self-Pay
$372

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: $372 (7815%)
Insurance Median: $5 (105%)
Cash: $372 (7815% 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 - $31 84%
Community Health Choice Mcd $4 84%
Molina Healthcare $4 - $10 84%
Texas Childrens Healthplans $4 84%
United $4 - $222 84%
American Health Plan $5 105%
Blue Cross Blue Shield $5 - $173 105%
Chc Harris Health $5 105%
Christus (Usfhp) $5 105%
Cigna $5 - $25 105%
Devoted Health $5 105%
Humana $5 - $61 105%
Integranet Amerigroup Ipa $5 105%
Molina $5 105%
Oscar $5 - $14 105%
Procare Advantage $5 105%
Provider Partners Health Plan Of Texas $5 105%
Shared Health $5 105%
Superior Health Plan $5 - $30 105%
Triwest Health Alliance $5 105%
Triwest Healthcare Alliance $5 105%
Van Lang Ipa $5 105%
Wellcare $5 105%
Wellmed $5 105%
Verda Health Plan $6 126%
Community Health Choice $7 147%
Superior $7 147%
Healthcare Highways $14 294%
Evry Health $68 - $135 1429%
Coventry National First Health $91 - $180 1912%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 605 Holderrieth, Tomball, TX 77375
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals