CMS Price Transparency Data

Blood test, potassium

Facility: Uchealth Pikes Peak Regional Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $22
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 4.62x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Uchealth Pikes Peak Regional Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 4.62x the Medicare baseline. Located in 16420 W Us Highway 24, Woodland Park, CO.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $30 (630%)
Insurance Median: $22 (462%)
Cash: $30 (630% of Medicare)
Ins. Median: $22 (462% 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 462% of the Medicare baseline (a markup of 362%). 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
UnitedHealthcare $5 - $10 105%
Aetna $10 - $31 210%
Blue Cross Blue Shield $10 - $27 210%
Cigna $10 - $30 210%
Cms $10 210%
Devoted Health $10 210%
Humana $10 210%
Kaiser $10 - $32 210%
Select Health $10 - $33 210%
Simplified Benefits Administration $17 - $19 357%
Kaiser Public Option $23 483%
Kaiser Kp Select $27 567%
Multiplan/Phcs $30 630%
First Health $32 672%
Rocky Mountain Health Plan $32 672%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16420 W Us Highway 24, Woodland Park, CO 80863
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals