CMS Price Transparency Data

Blood test, potassium

Facility: Sherman Oaks Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Sherman Oaks Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 4929 Van Nuys Blvd, Sherman Oaks, CA.
Cash / Self-Pay
$4

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $4 (84%)
Insurance Median: $5 (105%)
Cash: $4 (84% of Medicare)
Ins. Median: $5 (105% 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
Aids Healthcare Foundation $4 - $5 84%
Blue Shield Of Promise $4 84%
Health Net Of Ca $4 - $7 84%
L.A Care Health Plan $4 - $5 84%
Molina $4 - $5 84%
Traditional Medi-Cal $4 84%
Alignment $5 105%
Blue Shield Of Ca, Va $5 105%
Brand New Day $5 - $7 105%
Corvel $5 105%
Elite Health Plan $5 105%
Imperial Health Plan $5 105%
Managed Health Network $5 105%
Medicare (plans) $5 105%
Renal Payer Solutions $5 105%
Tricare $5 105%
Usa Senior Care Network $5 105%
Zelis Healthcare $5 105%
Aetna $6 126%
Americas Choice Provider Network $6 126%
Blue Cross Blue Shield $6 126%
Ca Foundation For Medical Center $6 126%
Healthsmart Preferred Network $6 126%
Multiplan $6 126%
Prime Health Services $6 126%
Provider Network Of America $6 126%
Provider Select $6 126%
Three Rivers $6 126%
Worker Comp $6 126%
Employer Direct Healthcare $7 147%
Naphcare $7 147%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4929 Van Nuys Blvd, Sherman Oaks, CA 91403
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals