CMS Price Transparency Data

Blood test, potassium

Facility: Texas Scottish Rite Hospital for Children

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $54
Cash Discount Price: $123
vs. Medicare Baseline: 11.34x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Texas Scottish Rite Hospital for Children is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 11.34x the Medicare baseline. Located in 2222 Welborn Street, Dallas, TX.

Cash / Self-Pay

$123

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $123 (2584%)

Insurance Median: $54 (1134%)

Cash: $123 (2584% of Medicare)

Ins. Median: $54 (1134% 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 1134% of the Medicare baseline (a markup of 1034%). 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	$5 - $56	105%
Tricare	$6	126%
Blue Cross Blue Shield	$15 - $54	315%
Children Med Center Health Plan - All Plans	$54	1134%
Community First Health Plan-All Plans	$54	1134%
Cook Childrens Hp-All Plans	$54	1134%
Driscoll Childrens-All Plans	$54	1134%
Medicaid / KanCare	$54	1134%
Molina Commercial - All Other Plans	$54	1134%
Soonercare-All Plans	$54	1134%
UnitedHealthcare	$54 - $80	1134%
Firstcare Health Mcaid	$57	1197%
Tx Childrens Hlth Mcaid-All Plans	$57	1197%
Firstcare Health Comm - All Other Plans	$86	1807%
Cigna	$92	1933%
Healthscope - All Plans	$92	1933%
Scott & White Comm- All Other Plans	$92	1933%

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 $123.
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 Texas Scottish Rite Hospital for Children 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.