CMS Price Transparency Data

Blood test, potassium

Facility: Rio Grande Regional Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $7
  • Cash Discount Price: $671
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Rio Grande Regional Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $671. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.47x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.
Cash / Self-Pay
$671

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $671 (14097%)
Insurance Median: $7 (147%)
Cash: $671 (14097% of Medicare)
Ins. Median: $7 (147% 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%
Driscoll Children'S Health Plan $4 84%
Molina Healthcare $4 - $12 84%
Texas Health Network $4 84%
United $4 - $302 84%
Allegian Health $5 - $268 105%
American Health Plan $5 105%
Blue Cross Blue Shield $5 - $302 105%
Cigna $5 - $17 105%
Humana $5 - $16 105%
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 - $47 105%
Triwest Health Alliance $5 105%
Triwest Healthcare Alliance $5 105%
Wellmed $5 105%
Universal Health Care $6 126%
Superior $7 147%
Corvel Corporation $9 189%
Focus Healthcare $10 210%
Omni Healthcare $10 210%
Oscar $11 231%
Healthcare Highways $14 294%
Texas Workforce Commission $161 3382%
Averde Health $221 4643%
Healthsmart Preferred Care $289 - $570 6071%
First Health $386 8109%
National Healthcare Solutions $403 8466%
Southwest Medical $403 8466%
Coastal Comp $436 9160%
Usa Managed Care $436 - $537 9160%
Ppo Next/ Medical Control $503 10567%
Beech Street $537 11282%
Multiplan $537 11282%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 E Ridge Rd, McAllen, TX 78503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals