CMS Price Transparency Data

Blood test, potassium

Facility: Los Robles Hospital & Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $60
  • Cash Discount Price: $520
  • vs. Medicare Baseline: 12.61x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Los Robles Hospital & Medical Center is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $520. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 12.61x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.
Cash / Self-Pay
$520

Average discount available for prompt cash payment at this facility.

Insurance Median
$60

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: $520 (10924%)
Insurance Median: $60 (1261%)
Cash: $520 (10924% of Medicare)
Ins. Median: $60 (1261% 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 1261% of the Medicare baseline (a markup of 1161%). 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
Aetna $5 - $1,001 105%
Alignment Health Plan $5 105%
Blue Cross Blue Shield $5 - $25 105%
Blue Shield $5 - $97 105%
Brand New Day $5 105%
Care1St Health Plan $5 105%
Central Health Plan $5 105%
Clever Care Of Golden State $5 105%
Easy Choice Health Plan $5 105%
Facey Medical Group $5 - $6 105%
Gold Coast Health Plan $5 105%
Health Net $5 - $407 105%
Humana $5 105%
La Care $5 105%
Scan Health Plan $5 105%
Triwest Healthcare Alliance $5 105%
United $5 - $281 105%
Corvel Corporation $6 126%
Ventura County Foundation $6 - $901 126%
Medcare Partners $10 - $150 210%
Bright Health $12 252%
Cigna $17 357%
First Health $46 - $801 966%
Choicecare Network $48 - $701 1008%
Multiplan $54 - $951 1134%
Ppo Next $54 - $801 1134%
Interplan Corporation $61 - $901 1282%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 215 W Janss Rd, Thousand Oaks, CA 91360
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals