CMS Price Transparency Data

Blood test, potassium

Facility: Sweeny Community Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $37
Cash Discount Price: $38
vs. Medicare Baseline: 7.77x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Sweeny Community Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 7.77x the Medicare baseline. Located in 305 North McKinney, Sweeny, TX.

Cash / Self-Pay

$38

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $38 (798%)

Insurance Median: $37 (777%)

Cash: $38 (798% of Medicare)

Ins. Median: $37 (777% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 777% of the Medicare baseline (a markup of 677%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$3 - $37	63%
Blue Cross Blue Shield	$19 - $32	399%
Evercare Mcaid	$32	672%
UnitedHealthcare	$34 - $51	714%
Amerigroup Mcr Adv - All Other Plans	$37	777%
Care Improvement Mcr - All Plans	$37	777%
Choicecare Mcr Adv - All Plans	$37	777%
Community Hlth Choice Him - All Other Plans	$37	777%
Coventry Mcr Adv	$37	777%
Molina Mcr Adv - All Other Plans	$37	777%
Superior Hp Mcr Adv-All Other Plans	$37	777%
Wellcare Mcare - All Plans	$37	777%
Cigna	$41	861%
Community Hlth Choice Star	$45	945%
Molina Mcaid	$45	945%
Superior Hp Mcaid	$45	945%
Tx Chlidrens Hp Mcaid - All Plans	$45	945%
Tx True Choice Mcaid - All Plans	$45	945%
Beech Street - All Plans	$48	1008%
Community Care Network - All Plans	$51	1071%
Galaxy Health Network - All Plans	$57	1197%
Multiplan - All Plans	$57	1197%
Evercare Mcr Adv - All Other Plans	$62	1303%
Amerigroup Mcaid	$64	1345%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $38.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84132.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sweeny Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84132.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.