CMS Price Transparency Data

Blood test, potassium

Facility: Redlands Community Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $152
  • Cash Discount Price: $66
  • vs. Medicare Baseline: 31.93x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Redlands Community Hospital is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 31.93x the Medicare baseline. Located in 350 Terracina Blvd, Redlands, CA.
Cash / Self-Pay
$66

Average discount available for prompt cash payment at this facility.

Insurance Median
$152

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: $66 (1387%)
Insurance Median: $152 (3193%)
Cash: $66 (1387% of Medicare)
Ins. Median: $152 (3193% 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 3193% of the Medicare baseline (a markup of 3093%). 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
Kaiser Medi-Cal $4 84%
Alinment Health Plan Mcr Adv-All Plans $5 105%
Epic Health Plan Senior $5 105%
Health Net Healthy Families $5 105%
Health Net Healthy Kids $5 105%
Health Net Mcr Adv $5 105%
Iehp Health Access Senior $5 105%
Iehp Mcr Adv $5 105%
Kaiser Senior $5 105%
Llumc Sr $5 105%
Medicare (plans) $5 105%
Tricare $5 105%
UnitedHealthcare $5 - $251 105%
Universal Care-All Plans $5 105%
Caremore Mcr Adv-All Plans $6 126%
Central Health Plan Sr-All Plans $6 126%
Dsh - All Plans $6 126%
Epic Health Plan-All Other Plans $6 126%
Patton Dsh Mcr Adv-All Plans $6 126%
Llumc-All Other Plans $7 147%
Blue Cross Blue Shield $12 - $15 252%
Health Net-All Other Plans $12 - $15 252%
Blue Shield Mcare $14 294%
Kaiser Comm-All Other Plans $27 567%
Pacificare (Rmg) - All Other Plans $73 - $92 1534%
Heritage/Regal Med Grp Sr $121 - $154 2542%
Heritage/Regal Med Grp-All Other Plans $121 - $154 2542%
Mhn-All Plans $121 - $154 2542%
Pacificare Bmg/Rymg Groups Only $128 2689%
Blue Shield Ppo/Epo/Hmo - All Other Plans $145 - $184 3046%
Beaver-All Other Plans $152 - $193 3193%
Pinnacle Op Only-All Plans $152 - $193 3193%
Rymg Op Only-All Plans $152 - $193 3193%
Aetna $157 - $200 3298%
Coventry-All Plans $169 - $215 3550%
Multiplan Kaiser $174 - $221 3655%
Cigna $182 - $230 3824%
Choicecare-All Plans $194 - $246 4076%
Interplan - All Plans $194 - $246 4076%
Aps-All Plans $206 - $261 4328%
Beech Street-All Plans $218 - $276 4580%
Medi-Cal $242 - $307 5084%
Iehp Healthy Family And Kids $266 - $338 5588%
Iehp - All Other Plans $283 - $359 5945%
Holman-All Plans $403 8466%
Molina Medi-Cal $410 - $521 8613%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Terracina Blvd, Redlands, CA 92373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals