CMS Price Transparency Data

Blood test, potassium

Facility: Northwest Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $6
  • Cash Discount Price: $76
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Northwest Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.26x the Medicare baseline. Located in 6200 North La Cholla Boulevard, Tucson, AZ.
Cash / Self-Pay
$76

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $76 (1597%)
Insurance Median: $6 (126%)
Cash: $76 (1597% of Medicare)
Ins. Median: $6 (126% 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.

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
Aetna $5 - $114 105%
Blue Cross Blue Shield $5 - $38 105%
Cigna $5 - $8 105%
Department Of Veterans Affairs $5 105%
Fresenius Health $5 105%
Humana $5 105%
Magellan $5 105%
Medicaid / KanCare $5 105%
Medicare (plans) $5 105%
Node Banner Mcr Adv $5 105%
Node Caremore Mcr Adv $5 105%
Node Clover Health Mcr Adv $5 105%
Node Devoted Health Mcr Adv $5 105%
Node Non Par Hospice Agree $5 105%
Node Va $5 105%
Pascua Yaqui Tribe $5 105%
Scan Health Plan $5 105%
Tricare $5 105%
Triwest $5 105%
UnitedHealthcare $5 - $127 105%
Veterans Eval Services $5 105%
Wellcare $5 105%
Node Us Dept Of Labor $6 126%
Ambetter / Centene $7 147%
Node Health Choice Health Exchange $7 147%
Health Net $8 168%
Node Fusion Network $9 189%
Node J Allen Inmate Health Svcs $9 189%
Seven Corners $11 231%
Self Pay $61 - $91 1282%
First Health Coventry $133 2794%
Coventry Medical Center $152 3193%
Multiplan $211 4433%
Prime Health $216 4538%
Healthsmart $229 4811%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6200 North La Cholla Boulevard, Tucson, AZ 85741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals