CMS Price Transparency Data

Blood test, potassium

Facility: St Rose Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $7
  • Cash Discount Price: $53
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at St Rose Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.47x the Medicare baseline. Located in 27200 Calaroga Ave, Hayward, CA.
Cash / Self-Pay
$53

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $53 (1113%)
Insurance Median: $7 (147%)
Cash: $53 (1113% of Medicare)
Ins. Median: $7 (147% 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
Healthnet Of California $4 - $124 84%
Aetna $5 - $89 105%
Brown & Toland $5 105%
Centers For Elder Independence $5 105%
Humana $5 105%
Imperial Health Senior $5 105%
Medicare (plans) $5 105%
UnitedHealthcare $5 - $142 105%
Cigna $6 - $133 126%
Canopy $9 189%
Blue Shield $12 252%
Blue Shield Affinity $12 252%
Blue Shield Hill $12 252%
Blue Cross Blue Shield $13 273%
Interplan $124 2605%
Multiplan Inc $137 2878%
Kaiser Foundation Hospitals $142 2983%
Preferred Health Network $151 3172%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 27200 Calaroga Ave, Hayward, CA 94545
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals