CMS Price Transparency Data

Blood test, potassium

Facility: AHMC Seton Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $6
  • Cash Discount Price: $167
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at AHMC Seton Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $167. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.26x the Medicare baseline. Located in 1900 Sullivan Avenue, Daly City, CA.
Cash / Self-Pay
$167

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: $167 (3508%)
Insurance Median: $6 (126%)
Cash: $167 (3508% 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
Medi-Cal $3 63%
Veterans Administration (Va) $3 63%
Blue Cross Blue Shield $4 - $159 84%
San Mateo County/San Mateo County General Hospital $4 84%
Aetna $5 - $14 105%
Apcmg $5 - $7 105%
Asian American Medical Group $5 - $6 105%
Blue Shield Of California $5 - $58 105%
Brand New Day $5 - $6 105%
Brown And Toland Medical Group $5 - $6 105%
Canopy Health $5 - $9 105%
Care Advantage $5 105%
Central Health Plan $5 105%
Chinese Community Health Plan $5 - $104 105%
Cmac $5 105%
Covid-19 Uninsured Program $5 105%
Easy Choice Hospital Services $5 105%
For Your Benefit $5 105%
Healthnet Seniority $5 105%
Hill Physicians Medical Group Inc $5 105%
Humana $5 105%
Imperial Health Plan $5 105%
Jade Health Care Mg $5 - $104 105%
Kaiser $5 - $171 105%
Medicare (plans) $5 105%
North East Medical Services $5 105%
Pacificare $5 105%
San Francisco Health Plan $5 105%
UnitedHealthcare $5 - $10 105%
Ahmc Health $6 126%
Athens Administrators $6 126%
Corvel Healthcare $6 126%
Health Plan Of San Mateo Healthworx $6 126%
Knox-Keene Act $6 126%
Multiplan/Bce Emergis $6 - $157 126%
Tricare $6 126%
Work Comp Other $6 126%
Health Plan Of San Mateo $7 147%
Cigna $24 504%
Self Pay $31 - $71 651%
Interplan Corporation $125 2626%
Healthcare Foundation Of San Mateo $146 - $157 3067%
Private Healthcare Sytems Inc $157 3298%
The First Health Network $157 3298%
Health Net $160 3361%
Beech Street Corporation $167 3508%
Choicecare Network $178 3739%
Multiplan $178 3739%
Mills Peninsula Health Services $188 3950%
Indemnity $209 4391%
Workers Compensation Federal $209 4391%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Sullivan Avenue, Daly City, CA 94015
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals