CMS Price Transparency Data

Blood test, potassium

Facility: Northwest Hills Surgical Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $7
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Northwest Hills Surgical Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.47x the Medicare baseline. Located in 6818 Austin Ctr Blvd Suite 100, Austin, TX.
Cash / Self-Pay
$6

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: $6 (126%)
Insurance Median: $7 (147%)
Cash: $6 (126% 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
Ambetter / Centene $4 - $5 84%
Blue Cross Blue Shield $4 - $33 84%
Dell Star $4 - $33 84%
UnitedHealthcare $4 - $33 84%
Wellpoint Chip/Chip Perinate $4 - $5 84%
Wellpoint Star Kids $4 84%
Wellpoint Star Plus $4 - $33 84%
Dell Chip/Chip Perinate $5 - $33 105%
Wellpoint Star $5 - $33 105%
Champva $6 126%
Superior Star $7 147%
Superior Star Foster $7 147%
Superior Star Kids $7 147%
Superior Star Plus $7 147%
Humana $8 168%
Superior Chip/Chip Perinate $8 168%
Cigna $11 231%
Seton Performance Plus $11 231%
Aetna $12 - $34 252%
Covenant Health $26 546%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6818 Austin Ctr Blvd Suite 100, Austin, TX 78731
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals