CMS Price Transparency Data

Blood test, potassium

Facility: Adventist Health Lodi Memorial

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $6
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Adventist Health Lodi Memorial is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.26x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$6

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: $6 (126%)
Insurance Median: $6 (126%)
Cash: $6 (126% 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
Bc Mcal $1 21%
Blue Shield Epn - All Other Plans $1 - $189 21%
Blue Shield Non-Epn $1 - $196 21%
Kaiser Commercial - All Other Plans $1 - $239 21%
Medcore(Omni Ipa) Op Only- All Plans $1 - $152 21%
UnitedHealthcare $1 - $242 21%
Healthnet- All Other Plans $2 - $286 42%
Networks By Design- All Plans $2 - $292 42%
Beech Street- All Plans $3 - $525 63%
Celtic Ins Company - All Plans $3 - $6 63%
Cigna $3 - $525 63%
First Health- All Plans $3 - $478 63%
Healthnet Mcal $3 - $7 63%
Hp Of San Joaquin Mcal $3 - $6 63%
Hp Of San Joaquin Ppo - All Other Plans $3 - $554 63%
Kaiser Mcal $3 - $5 63%
Medi-Cal $3 - $5 63%
Multiplan- All Plans $3 - $466 63%
Three Rivers Provider Network- All Plans $3 - $525 63%
Western Growers- All Plans $3 - $525 63%
Alignment Health Plan (Ahp)-All Plans $5 105%
Blue Shield Mcare Adv $5 105%
Cca Health Plan Mcr Adv- All Plans $5 105%
Healthnet Mcare $5 105%
Hp Of San Joaquin Mcr Adv $5 105%
Humana $5 105%
Kaiser Mcr Adv $5 105%
Tricare $5 105%
Knnex Health - All Plans $6 126%
Ah Employee Health Plan - All Plans $9 189%
Bright Health - All Plans $10 210%
Aetna $15 315%
Blue Cross Blue Shield $46 - $51 966%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals