CMS Price Transparency Data
Blood test, potassium
Facility: Garfield Medical Center
Billing Code: 84132 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84132
- Insurance Median: $6
- Cash Discount Price: $180
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Garfield Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $180. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.26x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$180
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: $180 (3782%)
Insurance Median: $6 (126%)
Cash: $180 (3782% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Pacific Independent Physician Association | $1 - $56 | 21% |
| Access Ipa Ancillary | $2 - $105 | 42% |
| Ahmc Healthcare Inc | $2 - $105 | 42% |
| Associated Hispanic Phys Of So Cal | $2 - $70 | 42% |
| Employee Health Systems Mg | $2 - $70 | 42% |
| Family Health Alliance | $2 - $105 | 42% |
| Allied Physicians | $3 - $7 | 63% |
| Allied Physicians Risk Pool | $3 - $123 | 63% |
| Allied Physicians Risk Pool Agreement | $3 - $123 | 63% |
| Beverly Hospital | $3 - $5 | 63% |
| Blue Cross Blue Shield | $3 - $176 | 63% |
| Brand New Day | $3 - $6 | 63% |
| Care 1St Mcl/Gar Cap Reciprocity | $3 | 63% |
| Central Health Plan | $3 - $140 | 63% |
| Community Health Plan | $3 | 63% |
| Emanate Health | $3 - $6 | 63% |
| Health Net | $3 - $295 | 63% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $3 - $140 | 63% |
| Health Net Foundation M Cal (Family Health Alliance) | $3 - $140 | 63% |
| Healthnet Medi Cal Cap | $3 - $123 | 63% |
| Healthy Way La | $3 | 63% |
| La Care Health Plan | $3 - $193 | 63% |
| Molina Medical Group | $3 - $137 | 63% |
| Other Non-Contracting Medi-Cal | $3 | 63% |
| Phys Assoc Of San Gab Valley | $3 - $140 | 63% |
| Physicians Healthways Medi-Cal | $3 - $351 | 63% |
| Pipa Risk Pool Agreement | $3 - $123 | 63% |
| Veterans Administration | $3 | 63% |
| Allied Physicians Med Grp | $4 - $176 | 84% |
| Blue Shield Of California | $4 - $176 | 84% |
| Health Net Comm/Hmo | $4 - $193 | 84% |
| Advantage Care Ipa | $5 - $351 | 105% |
| Aetna | $5 - $256 | 105% |
| Aids Health Foundation | $5 | 105% |
| Alhambra Hospital | $5 - $211 | 105% |
| Alignment Health Plan | $5 | 105% |
| Apa Aco Inc | $5 | 105% |
| Avanti | $5 - $6 | 105% |
| Blue Shield | $5 - $65 | 105% |
| Care 1St Health Plan | $5 - $211 | 105% |
| Cigna | $5 | 105% |
| Cms | $5 | 105% |
| Cv-19 Hrsa Uninsured Testing And Tx | $5 | 105% |
| Easy Choice Health Plan | $5 | 105% |
| First Health Network | $5 - $246 | 105% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $5 | 105% |
| Hollywood Presbyterian Medpoint Mcal | $5 | 105% |
| Humana | $5 | 105% |
| Inter Valley Health Plan | $5 | 105% |
| Interplan | $5 - $263 | 105% |
| La Care Covered Direct | $5 | 105% |
| Molina Healthcare | $5 | 105% |
| Molina Healthcare Of California | $5 - $6 | 105% |
| National Disaster Medical System | $5 | 105% |
| Non-Contract Medi-Care | $5 | 105% |
| Pacific Alliance Medical Center Comm/Sr | $5 | 105% |
| Physician Healthways Medical Corporation | $5 | 105% |
| Physicians Healthways Medical Corporation | $5 - $351 | 105% |
| Preferred Health Network | $5 | 105% |
| San Miguel Health Plan | $5 | 105% |
| Scan Health Plan Sr Hmo | $5 | 105% |
| Self-Pay | $5 | 105% |
| State Of California Medi-Cal | $5 | 105% |
| Ucla Impact Dept Of Uncology | $5 | 105% |
| UnitedHealthcare | $5 - $211 | 105% |
| Ahmc Health Epo | $6 | 126% |
| Athens Administrators | $6 | 126% |
| Chinatown Service Center Pace | $6 | 126% |
| Corvel Corporation | $6 - $281 | 126% |
| Fmc Los Angeles Co Epo | $6 - $263 | 126% |
| Knox-Keene Act | $6 | 126% |
| Multiplan | $6 - $298 | 126% |
| One Health Plan | $6 - $246 | 126% |
| Other Non-Contracted Workers Compensation | $6 | 126% |
| Americas Health Plan | $7 - $298 | 147% |
| Caloptima Direct | $7 | 147% |
| Health Payors Organization | $7 - $316 | 147% |
| East La Reg Ctr | $8 - $351 | 168% |
| Health Net Inc | $8 | 168% |
| Non Contract Commercial | $8 - $351 | 168% |
| One Legacy | $8 - $351 | 168% |
| Private Pay | $8 - $351 | 168% |
| Pacificare Of California Inc | $10 | 210% |
| Pacificare Ppo | $10 | 210% |
| Care First Health Plan | $35 | 735% |