CMS Price Transparency Data

Blood test, potassium

Facility: Oak Valley Hospital District

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $160
  • Cash Discount Price: $207
  • vs. Medicare Baseline: 33.61x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Oak Valley Hospital District is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $207. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 33.61x the Medicare baseline. Located in 350 S Oak Ave, Oakdale, CA.
Cash / Self-Pay
$207

Average discount available for prompt cash payment at this facility.

Insurance Median
$160

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: $207 (4349%)
Insurance Median: $160 (3361%)
Cash: $207 (4349% of Medicare)
Ins. Median: $160 (3361% 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 3361% of the Medicare baseline (a markup of 3261%). 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.

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
Alignment Op Only Ip/Op Only-All Plans $5 105%
Blue Cross Blue Shield $5 - $248 105%
Healthnet Medi-Cal Ip/Op Only $5 105%
Humana $5 105%
Imperial Health Ip/Op Only-All Plans $5 105%
Kaiser Mcr Adv Ip/Op Only $5 105%
Kaiser Medi-Cal Ip/Op Only $5 105%
Medi-Cal Ip/Op Only $5 105%
Scan Health Plan Ip/Op Only-All Plans $5 105%
Hp Of San Joaquin Ip/Op Only-All Plans $6 126%
Blue Shield Epn Ip/Op Only $149 3130%
Healthnet Comm Op Only Ip/Op Only-All Other Plans $160 3361%
Kaiser Comm Ip/Op Only-All Other Plans $171 3592%
Blue Shield/Bcout Ip/Op Only-All Other Plans $182 3824%
Cigna $185 3887%
UnitedHealthcare $193 4055%
Aetna $235 4937%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 S Oak Ave, Oakdale, CA 95361
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals