CMS Price Transparency Data

Blood test, potassium

Facility: Chinese Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $26
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 5.46x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Chinese Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 5.46x the Medicare baseline. Located in 845 Jackson St, San Francisco, CA.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $68 (1429%)
Insurance Median: $26 (546%)
Cash: $68 (1429% of Medicare)
Ins. Median: $26 (546% 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 546% of the Medicare baseline (a markup of 446%). 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
Blue Cross Blue Shield $2 - $10 42%
Aetna $5 - $24 105%
Cchp Mcr Adv $5 105%
Jade Mcr Adv $5 105%
Jade-All Other Plans $5 105%
Medi-Cal $5 105%
On Lok Mcr Adv-All Plans $5 105%
San Francisco Health Plan- All Plans $5 105%
Hp Of San Mateo Medi-Cal $6 126%
Asian Medical Group Medi-Cal Op Only $7 147%
Blue Shield Medi-Cal $7 147%
Hp Of San Mateo Health Kids/Health Worx-All Other $7 147%
Jade Medi-Cal $9 189%
Health Net-All Plans $18 - $108 378%
Cigna $19 - $112 399%
Cchp-All Other Plans $29 - $173 609%
Hp Of San Mateo Mcr Adv $31 - $184 651%
Asian Medical Group Mcare Op Only-All Other Plans $34 - $204 714%
Bay Area Accountable Care Mcare $34 - $204 714%
Bay Area Accountable Care - All Other Plans $61 - $367 1282%
Blue Shield - All Other Plans $261 5483%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 845 Jackson St, San Francisco, CA 94133
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals