CMS Price Transparency Data

Blood test, potassium

Facility: The Outer Banks Hospital, Inc

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $41
Cash Discount Price: $36
vs. Medicare Baseline: 8.61x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at The Outer Banks Hospital, Inc is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 8.61x the Medicare baseline. Located in 4800 South Croatan Highway, Nags Head, NC.

Cash / Self-Pay

$36

Average discount available for prompt cash payment at this facility.

Insurance Median

$41

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: $36 (756%)

Insurance Median: $41 (861%)

Cash: $36 (756% of Medicare)

Ins. Median: $41 (861% 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 861% of the Medicare baseline (a markup of 761%). 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
Trillium [1296]	$6	126%
Wellcare [1320]	$8	168%
Carolina Complete Health [1317]	$8	168%
Blue Cross Blue Shield	$8 - $40	168%
Amerihealth McAid Adv [1316]	$9	189%
Liberty Advantage [1313]	$24	504%
Humana	$25	525%
Aetna	$25 - $51	525%
UnitedHealthcare	$25 - $38	525%
Longevity Health [1411]	$30	630%
Nc Dept of Public Safety [1095]	$41	861%
Medcost [1067]	$42 - $44	882%
Cigna	$55 - $62	1155%
Multiplan [1031]	$62	1303%

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 $36.
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 The Outer Banks Hospital, Inc 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.