CMS Price Transparency Data

Blood test, potassium

Facility: HCA Healthone Presbyterian St Luke's

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $13
  • Cash Discount Price: $277
  • vs. Medicare Baseline: 2.73x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at HCA Healthone Presbyterian St Luke's is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $277. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 2.73x the Medicare baseline. Located in 1719 E 19Th Ave, Denver, CO.
Cash / Self-Pay
$277

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $277 (5819%)
Insurance Median: $13 (273%)
Cash: $277 (5819% of Medicare)
Ins. Median: $13 (273% 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 273% of the Medicare baseline (a markup of 173%). 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.

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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
Cigna $3 - $177 63%
UnitedHealthcare $4 84%
Aetna $5 - $146 105%
Blue Cross Blue Shield $5 - $205 105%
Bright Health $5 - $83 105%
Delaware Life Insurance $5 105%
Devoted Health $5 105%
Humana $5 105%
Innovage Pace $5 105%
Kaiser $5 - $72 105%
Kaiser National Transplant $5 - $133 105%
Mutual Of Omaha $5 105%
Rocky Mountain Health $5 105%
Rocky Mountain Health Plan $5 105%
Total Longterm Care $5 105%
Triwest Health Alliance $5 105%
United $5 - $125 105%
Wellcare $5 105%
Pinnacol Workers Comp $13 273%
Multiplan $14 - $249 294%
Vail Health $42 882%
Emerging Therapy Solutions $133 - $177 2794%
Colorado Program For Children With Special Needs $141 2962%
Western Plains Community Health $180 3782%
Northcare $194 4076%
Physician Health Partners $194 4076%
Medical Development International $222 4664%
Prime Health $249 5231%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1719 E 19Th Ave, Denver, CO 80218
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals