CMS Price Transparency Data

Blood test, potassium

Facility: Harlingen Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $6
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Harlingen Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.26x the Medicare baseline. Located in 5501 South Expressway 77, Harlingen, TX.
Cash / Self-Pay
$4

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $4 (84%)
Insurance Median: $6 (126%)
Cash: $4 (84% of Medicare)
Ins. Median: $6 (126% 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
Medicaid / KanCare $4 - $8 84%
Molina $4 - $9 84%
Superior Health Plan $4 - $8 84%
Aetna $5 105%
Blue Cross Blue Shield $5 - $15 105%
Careworks Worker Compensation Fka Rockport Community Network $5 105%
Cigna $5 - $8 105%
Humana $5 105%
Imperial Insurance Company $5 105%
Medicare (plans) $5 105%
Provider Partners Health Plan $5 105%
San Benito Medical Associates $5 105%
Texas Bluebonnett Health Plan $5 - $8 105%
Tricare $5 105%
UnitedHealthcare $5 - $6 105%
Veterans Evaluation Services $5 105%
Wellmed $5 105%
Workers Compensation $5 105%
Asserta Health $6 126%
Friday Health Plan $6 126%
Magic Valley Electric Cooperative $6 126%
Superior Health Commercial Exchange $6 126%
Corporate Remedies Worker Compensation $7 147%
Employer Direct Healthcare $7 147%
Naphcare $7 147%
Baker Benefits Administrators $10 210%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5501 South Expressway 77, Harlingen, TX 78550
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals