CMS Price Transparency Data

Blood test, potassium

Facility: HCA Healthone Mountain Ridge

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $12
  • Cash Discount Price: $619
  • vs. Medicare Baseline: 2.52x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at HCA Healthone Mountain Ridge is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $619. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 2.52x the Medicare baseline. Located in 9191 Grant St, Thornton, CO.
Cash / Self-Pay
$619

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $619 (13004%)
Insurance Median: $12 (252%)
Cash: $619 (13004% of Medicare)
Ins. Median: $12 (252% 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 252% of the Medicare baseline (a markup of 152%). 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 $2 - $396 42%
Aetna $5 - $327 105%
Blue Cross Blue Shield $5 - $458 105%
Bright Health $5 - $186 105%
Delaware Life Insurance $5 105%
Devoted Health $5 105%
Humana $5 105%
Innovage Pace $5 105%
Kaiser $5 - $220 105%
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 - $278 105%
Wellcare $5 105%
Pinnacol Workers Comp $13 273%
Multiplan $14 - $557 294%
Vail Health $94 1975%
Colorado Program For Children With Special Needs $210 4412%
Life Source Services $350 7353%
Western Plains Community Health $402 8445%
Northcare $433 9097%
Physician Health Partners $433 9097%
Medical Development International $495 10399%
Prime Health $557 11702%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9191 Grant St, Thornton, CO 80229
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals