CMS Price Transparency Data

Blood test, potassium

Facility: Craig Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $383
  • Cash Discount Price: $212
  • vs. Medicare Baseline: 80.46x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Craig Hospital is $383. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $212. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 80.46x the Medicare baseline. Located in 3425 S Clarkson St, Englewood, CO.
Cash / Self-Pay
$212

Average discount available for prompt cash payment at this facility.

Insurance Median
$383

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: $212 (4454%)
Insurance Median: $383 (8046%)
Cash: $212 (4454% of Medicare)
Ins. Median: $383 (8046% 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 8046% of the Medicare baseline (a markup of 7946%). 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
Veterans Administration $4 84%
Cms $5 105%
UnitedHealthcare $5 - $277 105%
Cigna $281 5903%
Kaiser $289 6071%
Blue Cross Blue Shield $295 6197%
Carisk Outcomes $306 6429%
Zenith $332 6975%
Aetna $347 7290%
Corvel Worker'S Comp $358 7521%
Liberty Mutual Worker'S Comp $358 7521%
Paradigm $358 - $378 7521%
Rocky Mountain Health Plan $373 - $398 7836%
Midwest Employers Casualty $378 7941%
Coventry/First Health $383 8046%
Fcci Worker'S Comp $383 8046%
Geha/Ppo Usa $383 8046%
Great-West Healthcare $383 8046%
Multiplan/Phcs $383 - $403 8046%
Prime Health Services $388 8151%
First Choice Health $398 8361%
Focus Worker'S Comp $409 8592%
General Reinsurance $409 - $434 8592%
Provider Network Of America $409 8592%
Three Rivers Provider Network $409 - $419 8592%
Wyoming Worker'S Comp $409 8592%
Allstate $434 9118%
Tricare $434 9118%
National Provider Network $460 9664%
Up & Up $460 9664%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3425 S Clarkson St, Englewood, CO 80113
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL