CMS Price Transparency Data

Blood test, potassium

Facility: San Gabriel Valley Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $6
  • Cash Discount Price: $116
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at San Gabriel Valley Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.26x the Medicare baseline. Located in 438 W Las Tunas Drive, San Gabriel, CA.
Cash / Self-Pay
$116

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: $116 (2437%)
Insurance Median: $6 (126%)
Cash: $116 (2437% 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
Ahmc Medi-Cal Reciprocity $3 63%
Allied Physicians $3 - $7 63%
Altamed Health Network $3 - $5 63%
Beverly Hospital $3 - $5 63%
Brand New Day $3 - $135 63%
Emanate Health $3 - $6 63%
Healthnet Medi-Cal Non-Contract $3 63%
Healthy Way La $3 63%
Non Contracting Medi Cal $3 63%
Veterans Administration $3 63%
Blue Cross Blue Shield $4 - $23 84%
La Care Health Plan $4 - $5 84%
Aetna $5 - $8 105%
Aids Healthcare Foundation $5 - $154 105%
Alignment Health Plan $5 105%
Apa/Aco Inc $5 105%
Avanti $5 - $6 105%
Blue Shield Of California $5 - $65 105%
Care 1St Health Plan $5 - $251 105%
Central Health Plan $5 - $232 105%
Cv-19 Hrsa Uninsured Testing And Tx $5 105%
Health Net $5 - $224 105%
Health Net Inc $5 - $11 105%
Hollywood Presbyterian Adv Med Mcal $5 105%
Hollywood Presbyterian Medpoint Mcal $5 105%
Humana $5 105%
Inter Valley Health Plan $5 105%
Medicaid / KanCare $5 105%
Medicare (plans) $5 105%
Molina Healthcare Of California $5 - $151 105%
Pacific Alliance Medical Center $5 105%
Pacificare Of California $5 - $126 105%
Physicians Healthways $5 105%
Providence Health Network $5 105%
Self-Pay $5 105%
St Vincent Medical Center/Psych $5 105%
Tricare $5 105%
Wellcare $5 105%
Ahmc Health Self-Insurance Epo $6 126%
Athens Administrators $6 126%
Beech Street $6 - $309 126%
Chinatown Service Center Pace $6 126%
Cigna $6 126%
Knox-Keene Act $6 126%
Other Non Contracting Workers Comp $6 126%
UnitedHealthcare $10 - $19 210%
Private Pay $14 294%
Ahmc Reciprocity $116 2437%
Alignment Healthplan $135 2836%
Clever Care $135 2836%
Pacific Independent Physician Associates $154 3235%
Facey Medical $193 4055%
Community Care Network $251 5273%
Choicecare Network $270 5672%
Private Healthcare Systems (Phcs) $270 5672%
Affiliated Health Fund $290 6092%
Multiplan $347 7290%
Ppo Next $347 7290%
Managed Health Network $386 8109%
Medi-Cal Sub Acute $386 8109%
One Legacy $386 8109%
Other Non Contracted Commercial $386 8109%
Us Behavioral Health Plan $386 8109%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 438 W Las Tunas Drive, San Gabriel, CA 91776
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals