CMS Price Transparency Data

Blood test, potassium

Facility: Adventist Health Tulare

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $9
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Adventist Health Tulare is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.89x the Medicare baseline. Located in 869 North Cherry Street, Tulare, CA.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $19 (399%)
Insurance Median: $9 (189%)
Cash: $19 (399% of Medicare)
Ins. Median: $9 (189% 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
Blue Cross Blue Shield $1 - $47 21%
Blue Shield Epn $1 - $87 21%
Blue Shield-All Other Plans $2 - $120 42%
Cigna $2 - $127 42%
Hs Interplan-All Plans $2 - $184 42%
Network By Design-All Plans $2 - $179 42%
UnitedHealthcare $2 - $199 42%
Western Growers - All Plans $2 - $126 42%
Ccipa Medi-Cal - All Plans $3 - $6 63%
Dignity Mcal Op Only $3 - $5 63%
Healthnet Medi-Cal $3 - $6 63%
Independence Op Only - All Plans $3 - $5 63%
Medi-Cal $3 - $5 63%
Multiplan - All Plans $3 - $234 63%
Blue Shield Mcare $5 105%
Dignity Mcr Op Only - All Other Plans $5 105%
Fhcn Pace Mcr Adv - All Plans $5 105%
Medicare (plans) $5 105%
Prime Health - All Plans $5 105%
Tricare $5 105%
Cal Forensic Med Grp - All Plans $6 126%
Prison Hlthcre - All Plans $6 126%
Bright Health - All Plans $7 147%
Ah Employee Health Plan - All Plans $9 189%
Incentive Hlth - All Plans $9 189%
Healthnet Hmo/Ppo - All Other Plans $13 273%
Aetna $40 840%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 869 North Cherry Street, Tulare, CA 93274
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals