CMS Price Transparency Data

Blood test, potassium

Facility: John Muir Medical Center - Concord Campus

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $89
  • Cash Discount Price: $82
  • vs. Medicare Baseline: 18.70x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at John Muir Medical Center - Concord Campus is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 18.70x the Medicare baseline. Located in 2540 East St, Concord, CA.
Cash / Self-Pay
$82

Average discount available for prompt cash payment at this facility.

Insurance Median
$89

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: $82 (1723%)
Insurance Median: $89 (1870%)
Cash: $82 (1723% of Medicare)
Ins. Median: $89 (1870% 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 1870% of the Medicare baseline (a markup of 1770%). 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
Contra Costa County Jail [1012104] $3 63%
Aetna $5 - $398 105%
Alignment Health [1177113] $5 105%
Blue Cross Blue Shield $5 - $358 105%
Blue Shield-Network Mcare [1006127] $5 105%
Care 1St Health Plan [1094113] $5 105%
Caremore [1171113] $5 105%
Covid19 Hrsa Uninsured Testing And Treatment Fund [1179012] $5 105%
Easy Choice Health Plan [1083113] $5 105%
Essence Healthcare [1049028] $5 105%
Essence Healthcare [1049128] $5 105%
Golden State-Network Mcare [1023127] $5 105%
Health Net-Network Mcare [1028127] $5 105%
Hospice Of East Bay [1085104] $5 105%
Humana $5 - $457 105%
Jmpn Canopy Hn [1640000011] $5 105%
Medicare (plans) $5 - $440 105%
Scan-Network Mcare [1043127] $5 105%
UnitedHealthcare $5 - $322 105%
Veterans Administration [1051113] $5 105%
Generic Commercial/Indemnity [1017001] $6 - $220 126%
Generic Hmo [1018103] $6 126%
Generic Ppo [1021104] $6 126%
Workers' Comp [1024005] $6 126%
Canopy Hn Hmo [1166103] $9 189%
Carecentrix [1011001] $48 - $220 1008%
Aps Healthcare [1003103] $54 - $248 1134%
United Behavioral Health [1048103] $60 - $277 1261%
Cigna $61 - $394 1282%
Brms [1091104] $63 1324%
Delta Health Systems [1032104] $63 1324%
Empire Plan [1092104] $63 1324%
Healthcomp [1089104] $63 - $468 1324%
Carelon Behavioral Health [1050104] $66 - $303 1387%
Fortified Provider Network [1063104] $66 - $303 1387%
Medigap [1036001] $66 - $303 1387%
Three Rivers Provider Network [1073104] $66 - $303 1387%
Health Net Hmo [1028103] $68 - $314 1429%
Health Net-Network [1028026] $68 - $314 1429%
Contra Costa Health Plan Hmo [1013103] $72 - $330 1513%
Blue Shield Hmo [1006103] $74 - $349 1555%
Blue Shield-Network [1006026] $76 - $349 1597%
Blue Shield Ppo [1006104] $79 - $405 1660%
Western Health Advantage Hmo [1053103] $84 - $440 1765%
Health Net Ppo [1028104] $87 - $400 1828%
Kaiser Hmo [1033103] $88 - $407 1849%
Federal Correction Institute [1062104] $96 - $440 2017%
First Health [1016104] $96 - $468 2017%
Healthsmart - Pka Interplan [1031104] $96 - $440 2017%
Networks By Design [1084104] $96 - $440 2017%
Pponext [1072104] $96 - $440 2017%
Sutter Preferred Health Plan [1044104] $96 - $440 2017%
Health Management Network [1066104] $102 - $468 2143%
Galaxy Health Network [1064104] $108 - $495 2269%
Integrated Health Plan [1075104] $108 - $495 2269%
Donor Network West [1008103] $4,000 - $8,000 84034%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2540 East St, Concord, CA 94520
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals