CMS Price Transparency Data

Blood test, potassium

Facility: Ventura County Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $6
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Ventura County Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.26x the Medicare baseline. Located in 300 Hillmont Avenue, Ventura, CA.
Cash / Self-Pay
$30

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: $30 (630%)
Insurance Median: $6 (126%)
Cash: $30 (630% 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
Vchcp-All Plans $1 - $22 21%
Blue Shield Epn $2 - $45 42%
Aetna $3 - $115 63%
Blue Cross Blue Shield $3 - $106 63%
Healthnet Comm-All Other Plans $3 - $63 63%
Kaiser Comm Pediatric Ip/Op Only $3 - $63 63%
UnitedHealthcare $3 - $63 63%
Alignment Hp - All Plans $5 105%
Americas Hp Mcr Adv Ip/Op Only $5 105%
Blue Shield Mcr Adv $5 105%
Clinicas Mcr Adv $5 105%
Healthnet Mcr Adv $5 105%
Hpn Ip/Op Only Medi-Cal $5 105%
Humana $5 105%
Kaiser Mcal Pediatric Ip/Op Only $5 105%
Kaiser Medi-Cal Ip/Op Only $5 105%
Medi-Cal $5 105%
Multiplan/Claritev-All Plans $5 - $92 105%
Ppo Next Ip/Op Only-All Plans $5 - $104 105%
Three Rivers Ip/Op Only-All Plans $5 - $92 105%
Tricare $5 105%
Americas Hp Mcal Ip/Op Only $6 126%
Clinicas Comm - All Other Plans $6 126%
Clinicas Mcal $6 126%
Gold Coast Medi-Cal-All Plans $6 - $9 126%
Imperial-All Plans $6 126%
Kaiser Mcr Pediatric Ip/Op Only $6 - $115 126%
Medicare (plans) $6 - $115 126%
Ntwrk Provdrs-All Plans $6 126%
Scan-All Plans $6 126%
Western Growers-All Plans $6 126%
Americas Hp Comm Ip/Op Only-All Other Plans $7 147%
Hpn Comm Ip/Op Only-All Other Plans $8 - $163 168%
Cigna $9 189%
Blue Shield Comm - All Other Plans $16 336%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Hillmont Avenue, Ventura, CA 93003
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals