Blood test, potassium
Facility: Centura St. Catherine-Dodge City
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $81
- Cash Discount Price: $49
- vs. Medicare Baseline: 17.02x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 1702% of the Medicare baseline (a markup of 1602%). 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.
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 - $99 | 105% |
| Medicare (plans) | $5 | 105% |
| Blue Cross Blue Shield | $5 - $12 | 105% |
| Kansas Health | $5 | 105% |
| Cigna | $5 | 105% |
| Kaiser | $5 | 105% |
| Humana | $5 | 105% |
| Centura Employee Plan | $6 | 126% |
| UnitedHealthcare | $81 | 1702% |
| Wpaa | $86 | 1807% |
| Multiplan | $99 - $111 | 2080% |
| Christian Health Aid | $99 | 2080% |
| Health Partners Of Kansas | $111 | 2332% |
Consumer Guidance & Cost Commentary
For the CPT code 84132, representing a blood test for potassium, the facility's cash median price is $49.00, which is significantly lower than the state average of $81.00. While commercial payers like Aetna and Blue Cross Blue Shield have negotiated rates ranging from $5 to $12, these amounts often exceed the cash price, making self-pay a potentially more affordable option for patients with high-deductible plans. Medicare's benchmark rate for this service is set at $4.76, highlighting that the facility's cash rate is roughly ten times higher than the federal baseline, though still below the typical commercial negotiated average.
Patients should be aware that while the facility offers a cash median of $49.00, the actual amount owed may vary based on specific plan terms and discounts. It is advisable to contact the billing department directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final cost. Additionally, if you have insurance, verify your deductible status before scheduling, as paying the negotiated rate without meeting your deductible could result in higher out-of-pocket expenses than paying cash upfront. Always request an itemized bill to ensure all charges are accurate and to identify any potential errors before payment.