CMS Price Transparency Data

Blood test, potassium

Facility: Carrollton Regional Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $120
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Carrollton Regional Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 4343 North Josey Lane, Carrollton, TX.
Cash / Self-Pay
$120

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: $120 (2521%)
Insurance Median: $5 (105%)
Cash: $120 (2521% 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
Amerigroup $4 - $5 84%
Blue Cross Blue Shield $4 - $20 84%
Cigna $4 84%
Humana $4 - $5 84%
Medicaid / KanCare $4 84%
Molina $4 - $5 84%
Superior $4 - $7 84%
Superior_Chip $4 84%
Uhc_Chip $4 84%
Uhc_Star $4 84%
Uhc_Star_Plus $4 84%
UnitedHealthcare $4 - $5 84%
Aetna $5 - $7 105%
Medicare (plans) $5 105%
Molina_Star_Plus $5 105%
Scott_And_White $5 105%
Molina_Health_Insurance_Marketplace $6 126%
Scott_And_White_Epo $8 168%
Scott_And_White_Hmo $8 168%
Scott_And_White_Ppo $8 168%
Scott_And_White_Swhp $8 168%
Phcs $60 - $240 1261%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4343 North Josey Lane, Carrollton, TX 75010
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals