CMS Price Transparency Data

Blood test, potassium

Facility: Hca-Healthone DBA Swedish Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $119
  • Cash Discount Price: $401
  • vs. Medicare Baseline: 25.00x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Hca-Healthone DBA Swedish Medical Center is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $401. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 25.00x the Medicare baseline. Located in 501 E Hampden Ave, Englewood, CO.
Cash / Self-Pay
$401

Average discount available for prompt cash payment at this facility.

Insurance Median
$119

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: $401 (8424%)
Insurance Median: $119 (2500%)
Cash: $401 (8424% of Medicare)
Ins. Median: $119 (2500% 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 2500% of the Medicare baseline (a markup of 2400%). 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
Cigna $3 - $259 63%
Aetna $5 - $214 105%
Blue Cross Blue Shield $5 - $300 105%
Bright Health $5 - $122 105%
Delaware Life Insurance $5 105%
Devoted Health $5 105%
Humana $5 105%
Kaiser $5 - $131 105%
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 - $182 105%
Wellcare $5 105%
Pinnacol Workers Comp $13 273%
Multiplan $14 - $365 294%
Vail Health $56 - $62 1176%
Colorado Program For Children With Special Needs $162 - $178 3403%
Western Plains Community Health $240 - $263 5042%
Northcare $258 - $284 5420%
Physician Health Partners $258 - $284 5420%
Medical Development International $295 - $324 6197%
Prime Health $332 - $365 6975%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 E Hampden Ave, Englewood, CO 80113
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals