CMS Price Transparency Data

Blood test, potassium

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $67
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 14.08x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Sharp Coronado Hospital and Hlthcr Ctr is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 14.08x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$67

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: $75 (1576%)
Insurance Median: $67 (1408%)
Cash: $75 (1576% of Medicare)
Ins. Median: $67 (1408% 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 1408% of the Medicare baseline (a markup of 1308%). 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.

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
Allianz Global Assistance $1 - $60 21%
Molina $1 - $80 21%
Blue Cross Blue Shield $15 - $70 315%
Cigna $30 630%
San Diego Pace $30 630%
Blue Shield $34 - $56 714%
Health Net $34 - $80 714%
Aetna $40 - $77 840%
UnitedHealthcare $55 - $70 1155%
Epic Americas $56 1176%
Kaiser $68 1429%
County Medical Services $69 - $80 1450%
Community Health Group $70 1471%
Humana $70 1471%
Indian Health Council $70 1471%
Multiplan $75 1576%
Medicare (plans) $80 1681%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 250 Prospect Place, Coronado, CA 92118
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals