CMS Price Transparency Data

Blood test, potassium

Facility: Adventist Health Reedley

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $9
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Adventist Health Reedley is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.89x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $19 (399%)
Insurance Median: $9 (189%)
Cash: $19 (399% of Medicare)
Ins. Median: $9 (189% 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
Bc Mcal $1 21%
UnitedHealthcare $1 - $58 21%
Blue Shield Epn - All Other Plans $2 - $61 42%
Blue Shield Non Epn $2 - $70 42%
Cigna $2 - $89 42%
Healthnet- All Other Plans $2 - $60 42%
Kaiser - All Other Plans $2 - $68 42%
Western Growers/Pinnacle- All Plans $2 - $63 42%
Cal Viva Hlth Mcal - All Plans $3 - $5 63%
Community Care Ipa Mcal-All Plans $3 - $6 63%
Dignity Mcal Op/Profee Only-All Other Plans $3 - $5 63%
Kern Health Systems Mcal-All Plans $3 - $5 63%
Medi-Cal $3 - $5 63%
Physicians Med Group Op/Profee Only- All Plans $3 - $110 63%
Blue Shield Mcare $5 105%
Dignity Mcr Adv Op/Profee Only $5 105%
Fhcn Pace Mcr Adv-All Plans $5 105%
Healthnet- Mcr Adv $5 105%
Kaiser Mcr Adv $5 105%
Phs Prime Health Srvcs $5 105%
Tricare $5 105%
Bright Health Mcr Adv - All Plans $7 147%
Aetna $8 - $27 168%
Ah Employee Health Plan - All Plans $9 189%
Healthnet Medi-Cal $12 - $21 252%
Blue Cross Blue Shield $21 - $59 441%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals