CMS Price Transparency Data

Blood test, potassium

Facility: Alhambra Hospital Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $6
  • Cash Discount Price: $221
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Alhambra Hospital Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $221. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.26x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$221

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $221 (4643%)
Insurance Median: $6 (126%)
Cash: $221 (4643% of Medicare)
Ins. Median: $6 (126% 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
Ahmc-Reciprocity-Medi-Cal/Healthy Families $3 63%
Citrus Valley Health Partners $3 63%
Kaiser Medi-Cal $3 63%
La Care Pasc Seiu Misc $3 63%
Miscellaneous Medi-Cal Hmo $3 63%
Stewart Mg Senior Hmo $3 63%
Blue Cross Blue Shield $4 - $9 84%
Blue Shield 65 Plus $4 84%
La Care Medi-Cal Hmo $4 84%
Aetna $5 - $8 105%
Alignment Senior Hmo $5 105%
Allied Physicians Of Ca Medi-Cal $5 105%
Altamed Senior Services $5 105%
Apa Aco $5 105%
Brand New Day Sr $5 105%
Central Health Plan Of Ca Senior Hmo $5 105%
Health Net Medi-Cal $5 105%
Health Net Senior Hmo $5 105%
Humana $5 105%
La Care Exchange $5 105%
Medi-Cal $5 105%
Medicare (plans) $5 - $133 105%
Miscellaneous Senior Hmo $5 105%
Tricare $5 105%
UnitedHealthcare $5 - $10 105%
Wellcare Senior Hmo $5 105%
Cigna $6 - $100 126%
Health Net Exchange $6 126%
Health Net Salud Con Hmo $6 126%
Miscellaneous Work Comp Hmo $6 126%
Molina Exchange $6 126%
Ahmc Health $7 147%
Allied Physicians Of Ca Commercial $7 147%
Health Net Ppo/Epo/Pos $10 210%
Blue Shield Value Network Exchange $57 1197%
Blue Shield Hmo/Ppo $64 1345%
Ahmc-Reciprocity-Comm/Senior $66 1387%
Allied Physicians Comm/Sr $78 1639%
Allied Physicians Medi-Cal $78 1639%
Wellcare Allied Senior Hmo $78 1639%
Molina Health Plan $86 1807%
Self Pay $89 1870%
Health Net Exchange Enhanced Ppo $94 1975%
Kaiser Commercial $137 2878%
Scan Senior Plan $144 3025%
Multiplan $177 3718%
Miscellaneous Commercial Ppo/Hmo $221 4643%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals