CMS Price Transparency Data

Blood test, potassium

Facility: Washington Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $115
  • Cash Discount Price: $91
  • vs. Medicare Baseline: 24.16x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Washington Hospital is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $91. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 24.16x the Medicare baseline. Located in 2000 Mowry Ave, Fremont, CA.
Cash / Self-Pay
$91

Average discount available for prompt cash payment at this facility.

Insurance Median
$115

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: $91 (1912%)
Insurance Median: $115 (2416%)
Cash: $91 (1912% of Medicare)
Ins. Median: $115 (2416% 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 2416% of the Medicare baseline (a markup of 2316%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $5 - $283 105%
Alameda Alliance Mcr Adv $5 105%
Blue Cross Blue Shield $5 - $293 105%
Blue Shield Mcr Adv $5 105%
Brand New Day Mcr Adv - All Plans $5 105%
Canopy Mcr Adv $5 105%
Central Hlth Mcr Adv - All Plans $5 105%
Health Net Sr Plus Hmo $5 105%
Humana $5 - $365 105%
Kaiser Mcr Adv $5 105%
Kaiser Medi-Cal $5 105%
Medi-Cal $5 105%
On Lok Senior Health Services-All Plans $5 105%
Tricare $5 105%
UnitedHealthcare $5 - $351 105%
Va (Triwest Ccn)-All Plans $5 105%
Health Net/Healthy Family/Aim $27 - $81 567%
Alameda Alliance Ppo-All Other Plans $41 - $122 861%
Canopy-All Other Plans $69 - $207 1450%
Blue Shield Eppo $71 - $214 1492%
Kaiser - All Other Plans $73 - $219 1534%
Healthnet Comm - All Other Plans $82 - $245 1723%
Cigna $84 - $325 1765%
Blue Shield Hmo $91 - $273 1912%
Pacific Health Alliance Epo $95 - $284 1996%
Standford Health Services-All Plans $95 - $284 1996%
County Of Santa Clara-All Plans $102 - $305 2143%
Blue Shield Ppo - All Other Plans $106 - $317 2227%
Pacific Foundation Epo $108 - $325 2269%
Corvel-All Plans $115 - $345 2416%
Interplan B-2 Ppo $115 - $345 2416%
Masonic Homes Ppo-All Plans $115 - $345 2416%
Multiplan Ppo-All Plans $115 - $345 2416%
Pacific Health Alliance Ppo-All Other Plans $115 - $345 2416%
Preferred Health Network-All Plans $115 - $344 2416%
Interplan B-4 Ppo-All Other Plans $119 - $357 2500%
Cna (Mailhandlers)-All Plans $122 - $365 2563%
First Health -All Plans $122 - $365 2563%
Pacific Foundation Ppo-All Other Plans $122 - $365 2563%
Phcs/Private Healthcare Systems-All Plans $122 - $365 2563%
Three Rivers Provider Network-All Plans $122 - $365 2563%
Beech Street-All Plans $129 - $386 2710%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Mowry Ave, Fremont, CA 94538
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals