CMS Price Transparency Data

Blood test, potassium

Facility: St Francis Hospital & Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $7
  • Cash Discount Price: $9,699
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at St Francis Hospital & Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,699. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.47x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$9,699

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $9,699 (203761%)
Insurance Median: $7 (147%)
Cash: $9,699 (203761% of Medicare)
Ins. Median: $7 (147% 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.

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
Blue Cross Blue Shield $4 - $1,376 84%
Aetna $5 - $25 105%
Bcn Domestic $5 - $1,376 105%
Blue Benefit Administrators of Massachusetts $5 - $1,376 105%
Blue Care Network $5 - $1,376 105%
Blue Distinction Transplant $5 - $1,376 105%
Blue Shield - Ca $5 - $1,376 105%
Blue Shield - Id (Regence) $5 - $1,376 105%
Blue Shield - Ny Highmark Northeastern $5 - $1,376 105%
Blue Shield - Ny Highmark Western $5 - $1,376 105%
Blue Shield - PA (Highmark) $5 - $1,376 105%
Blue Shield - Wa (Regence) $5 - $1,376 105%
Cca Senior Care Options $5 - $26 105%
Cigna $5 - $26 105%
Geha $5 105%
Harvard Pilgrim Healthcare $5 105%
Health Choices $5 - $1,376 105%
Kaiser Domestic $5 - $1,376 105%
Medicare (plans) $5 - $27 105%
Pre-Employment $5 - $1,376 105%
Unicare $5 - $1,376 105%
UnitedHealthcare $5 - $26 105%
Wc Domestic $5 - $1,376 105%
Wellpoint $5 - $1,376 105%
1199 National Benefit Fund $6 126%
Allied Benefit Systems $6 126%
Centivo $6 126%
Connecticare $6 - $8 126%
Fallon Health $6 - $34 126%
Gravie Admin Services $6 126%
Hap $6 126%
Luminare Health $6 126%
Meritain $6 126%
Nippon Life Ins $6 126%
Webtpa $6 126%
Allegiance $7 147%
Connecticut Dept of Correction $7 - $957 147%
Health Partners $7 147%
Magnacare $7 147%
Innovative Health Plan II $10 - $54 210%
Health New England $17 357%
Allied National Global Care $21 441%
Asrm - Reliance Standard Life Insurance $21 441%
Christian Care Ministry $21 441%
Dean Health $21 441%
Family Life Insurance Company $21 441%
Ghc Scw $21 441%
International Benefit Administrators $21 441%
Lifetime Benefit Solutions $21 441%
Manhattan Life $21 441%
Medi Share $21 441%
Multiplan $21 441%
Mvp $21 441%
PHCS $21 441%
Pai $21 441%
Pan-American Life $21 441%
Paramount HMO $21 441%
Trinity Health Share $21 441%
Prime Health Services $22 462%
Health Smart $26 546%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals