CMS Price Transparency Data

Blood test, potassium

Facility: Adventist Health Tehachapi Valley

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $36
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 7.56x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Adventist Health Tehachapi Valley is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 7.56x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $49 (1029%)
Insurance Median: $36 (756%)
Cash: $49 (1029% of Medicare)
Ins. Median: $36 (756% 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 756% of the Medicare baseline (a markup of 656%). 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
Blue Shield Epn- All Other Plans $1 - $83 21%
Centivo - All Plans $1 - $84 21%
Kaiser Ip/Op Only- All Other Plans $1 - $64 21%
Western Grwrs/Pinnacle - All Plans $1 - $82 21%
Ah Employee Health Plan - All Plans $2 - $104 42%
Blue Cross Blue Shield $2 - $113 42%
Blue Shield Non-Epn $2 - $98 42%
Klhp-Kern Legacy Epo -All Other Plans $2 - $98 42%
UnitedHealthcare $2 - $96 42%
Bc Mcal $3 - $5 63%
Cigna $3 - $153 63%
Coventry- All Plans $3 - $176 63%
Healthnet Medi-Cal $3 - $6 63%
Healthnet- All Other Plans $3 - $151 63%
Kaiser Medi-Cal Ip/Op Only $3 - $5 63%
Khs-Kern Hlth Systm Mcal $3 - $6 63%
Medi-Cal $3 - $5 63%
Universal Ipa Mcal Op/Profee Only $3 - $5 63%
Oscar Health Plan- All Plans $8 168%
Healthnet Mcare $15 - $37 315%
Medicare (plans) $15 - $37 315%
Tricare $15 - $37 315%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla $15 - $37 315%
Network Providers- All Plans $20 - $48 420%
Aetna $27 567%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Magellan, Tehachapi, CA 93561
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals