CMS Price Transparency Data

Blood test, potassium

Facility: Community Memorial Hospital - Ventura

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $6
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Community Memorial Hospital - Ventura is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.26x the Medicare baseline. Located in 147 North Brent Street, Ventura, CA.
Cash / Self-Pay
$18

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: $18 (378%)
Insurance Median: $6 (126%)
Cash: $18 (378% 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
Seaview $4 84%
Alignment Health Plan $5 105%
Blue Cross Blue Shield $5 - $6 105%
California Workers Compensation $5 105%
Humana $5 105%
Medi-Cal $5 105%
Medicare (plans) $5 105%
Non Contracted $5 105%
Scan Health Plan $5 105%
Tricare $5 105%
UnitedHealthcare $5 - $8 105%
Wellcare Of California $5 105%
Cigna $6 126%
Valley Care $6 - $8 126%
Aetna $7 - $31 147%
Gold Coast Health Plan $7 - $10 147%
Medicaid / KanCare $7 - $10 147%
Ventura County Health Care Plan $8 168%
Kaiser Commercial $16 336%
Blue Shield Epn $18 378%
Multiplan $18 378%
Blue Shield Commercial $20 420%
Health Net Commercial $20 420%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 147 North Brent Street, Ventura, CA 93003
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals