CMS Price Transparency Data
Blood test, potassium
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 84132 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84132
- Insurance Median: $17
- Cash Discount Price: $150
- vs. Medicare Baseline: 3.57x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at AHMC Anaheim Regional Medical Center is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $150. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 3.57x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$150
Average discount available for prompt cash payment at this facility.
Insurance Median
$17
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: $150 (3151%)
Insurance Median: $17 (357%)
Cash: $150 (3151% of Medicare)
Ins. Median: $17 (357% 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 357% of the Medicare baseline (a markup of 257%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 |
|---|---|---|
| Ahmc Reciprocity Agreement | $3 - $69 | 63% |
| Allied Physicians | $3 - $7 | 63% |
| Altamed Health Network | $3 - $5 | 63% |
| Applecare Medical Group | $3 | 63% |
| Beverly Hospital | $3 - $5 | 63% |
| Brand New Day | $3 - $6 | 63% |
| Health Net | $3 | 63% |
| Healthcare Partners | $3 - $5 | 63% |
| Healthy Way La | $3 | 63% |
| Heritage Provider Network | $3 - $6 | 63% |
| Kaiser Foundation Hospitals | $3 - $5 | 63% |
| Medical Safety Net Program | $3 | 63% |
| Non Contracted Medi-Cal | $3 | 63% |
| Talbert Medical Group | $3 - $5 | 63% |
| Veterans Administration | $3 | 63% |
| Affiliated Doctors Of Orange County | $4 | 84% |
| Alta Los Angeles Hospital | $4 | 84% |
| Prospect Health Plan | $4 - $6 | 84% |
| Prospect Medical Group | $4 | 84% |
| Aetna | $5 - $25 | 105% |
| Aids Health Foundation | $5 | 105% |
| Align Senior Care | $5 | 105% |
| Alignment Health Plan | $5 | 105% |
| Angels Baseball Workers Comp | $5 | 105% |
| Apa Aco Inc | $5 | 105% |
| Avanti | $5 - $6 | 105% |
| Blue Cross Blue Shield | $5 - $17 | 105% |
| Blue Shield Of California | $5 - $62 | 105% |
| California Health Plan | $5 | 105% |
| Caloptima | $5 - $6 | 105% |
| Central Health Of California | $5 | 105% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $5 | 105% |
| Davita Heatlhcare Partners Plan Inc | $5 - $124 | 105% |
| Emanate Health | $5 - $6 | 105% |
| Health Net Inc | $5 - $176 | 105% |
| Healthnet | $5 | 105% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $5 | 105% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $5 | 105% |
| Hollywood Presbyterian Medpoint Mcal | $5 | 105% |
| Humana | $5 | 105% |
| Innovative Integrated Health (Iih)/Orange County Pace | $5 | 105% |
| Interplan | $5 - $160 | 105% |
| Medi-Cal | $5 | 105% |
| Medicare (plans) | $5 - $114 | 105% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $5 | 105% |
| Monarch Health Plan | $5 - $155 | 105% |
| Nchp | $5 | 105% |
| Pacificare | $5 | 105% |
| Private Pay Flat Rate | $5 | 105% |
| Scan Health Plan | $5 | 105% |
| Self-Pay | $5 | 105% |
| Seoul Medical Group | $5 | 105% |
| Tricare | $5 | 105% |
| Wellcare | $5 | 105% |
| Ahmc Health Self-Insurance Epo | $6 | 126% |
| Athens Administrators | $6 | 126% |
| Capp Care | $6 - $172 | 126% |
| Cigna | $6 | 126% |
| Corvel | $6 - $172 | 126% |
| First Health | $6 - $195 | 126% |
| Knox-Keene Act | $6 | 126% |
| Marriot Intl | $6 | 126% |
| Non Contracted Workers Comp | $6 | 126% |
| Orange County Preferred Provider Organization | $6 - $172 | 126% |
| UnitedHealthcare | $10 - $19 | 210% |
| Monarch Healthcare Medical Group | $12 | 252% |
| Netcare Life And Health Insurance | $15 - $57 | 315% |
| Advance Clinical Research Institute | $18 - $69 | 378% |
| Memorial Healthcare Ipa | $18 - $69 | 378% |
| Medical Acquisition Company | $24 - $92 | 504% |
| Healthcare Partners Commercial | $32 - $124 | 672% |
| Huntington Memorial Hospital | $32 - $124 | 672% |
| Genesis Healthcare Ipa Ancillary | $35 - $137 | 735% |
| Affiliated Health Fund | $41 - $160 | 861% |
| Allnet Preferred Provider | $41 - $160 | 861% |
| Care First | $41 - $160 | 861% |
| Private Healthcare Systems | $41 - $160 | 861% |
| Choicecare | $44 - $172 | 924% |
| Multiplan Inc | $44 - $172 | 924% |
| National Provider Network | $47 - $183 | 987% |
| Three Rivers Providers Network | $47 - $183 | 987% |
| Msi/Medical Services For Indigents | $52 | 1092% |
| Health Payors Organization | $53 - $206 | 1113% |
| Non Contracted Commercial | $59 - $229 | 1239% |