CMS Price Transparency Data

Blood test, potassium

Facility: Santa Monica - UCLA Med Ctr & Orthopaedic Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Santa Monica - UCLA Med Ctr & Orthopaedic Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 1250 16Th Street, Santa Monica, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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%)
Insurance Median: $5 (105%)
Ins. Median: $5 (105% 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
La Care Medi-Cal Hmo $3 63%
Aetna $5 105%
Blue Shield $5 105%
La Care Dsnp $5 105%
Medicare (plans) $5 105%
Monarch $5 105%
Providence Healthcare $5 105%
St. Jude $5 105%
Triwest Healthcare Alliance $5 105%
UnitedHealthcare $5 - $14 105%
Central Health Plan $6 126%
Healthsmart $6 126%
Scan $6 126%
Blue Cross Blue Shield $7 - $8 147%
La Care Covered Ca $7 147%
Centivo $11 231%
Health Plan Of Nevada Commercial $13 273%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 16Th Street, Santa Monica, CA 90404
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals