CMS Price Transparency Data

Blood test, potassium

Facility: PAM Rehabilitation Hospital of Beaumont

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $68
  • Cash Discount Price: $91
  • vs. Medicare Baseline: 14.29x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at PAM Rehabilitation Hospital of Beaumont is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $91. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 14.29x the Medicare baseline. Located in 3340 Plaza 10 Drive, Beaumont, TX.
Cash / Self-Pay
$91

Average discount available for prompt cash payment at this facility.

Insurance Median
$68

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: $91 (1912%)
Insurance Median: $68 (1429%)
Cash: $91 (1912% of Medicare)
Ins. Median: $68 (1429% 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 1429% of the Medicare baseline (a markup of 1329%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Superior Health $4 84%
Wellpoint (Amerigroup) $4 84%
America'S Choice Provider Network $64 1345%
Provider Network Of America $68 1429%
Quik Trip $68 1429%
Usa Managed Care Organization $68 1429%
Velocity Provider Ppo Network $68 1429%
Multiplan/Phcs $73 1534%
Prime Health Services $77 1618%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3340 Plaza 10 Drive, Beaumont, TX 77707
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL