CMS Price Transparency Data

Blood test, potassium

Facility: Johnson Memorial Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $10
  • Cash Discount Price: $3,508
  • vs. Medicare Baseline: 2.10x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Johnson Memorial Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,508. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 2.10x the Medicare baseline. Located in 201 Chestnut Hill Road, Stafford Springs, CT.
Cash / Self-Pay
$3,508

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $3,508 (73697%)
Insurance Median: $10 (210%)
Cash: $3,508 (73697% of Medicare)
Ins. Median: $10 (210% 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 210% of the Medicare baseline (a markup of 110%). 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
Aetna $5 - $46 105%
Blue Cross Blue Shield $5 - $46 105%
Cca Senior Care Options $5 - $47 105%
Cigna $5 - $48 105%
Geha $5 105%
Harvard Pilgrim Healthcare $5 105%
Medicare (plans) $5 - $49 105%
UnitedHealthcare $5 - $46 105%
Centivo $6 - $110 126%
Fallon Health $6 - $61 126%
Connecticare $8 - $9 168%
1199 National Benefit Fund $10 210%
Allied Benefit Systems $10 210%
Bcn Domestic $10 210%
Blue Benefit Administrators Of Massachusetts $10 210%
Blue Care Network $10 210%
Blue Distinction Transplant $10 210%
Blue Shield - Ca $10 210%
Blue Shield - Id (Regence) $10 210%
Blue Shield - Ny Highmark Northeastern $10 210%
Blue Shield - Ny Highmark Western $10 210%
Blue Shield - Pa (Highmark) $10 210%
Blue Shield - Wa (Regence) $10 210%
Claimdoc $10 - $99 210%
Connecticut Dept Of Correction $10 - $2,868 210%
Diversified Administrators $10 - $99 210%
Gravie Admin Services $10 210%
Hap $10 210%
Health Choices $10 210%
Innovative Health Plan Ii $10 - $99 210%
Kaiser Domestic $10 210%
Luminare Health $10 210%
Meritain $10 210%
Nippon Life Ins $10 210%
Pre-Employment $10 210%
Unicare $10 210%
Wc Domestic $10 210%
Webtpa $10 210%
Wellpoint $10 210%
Health New England $20 420%
Prime Health Services $25 525%
Allied National Global Care $26 546%
Asrm - Reliance Standard Life Insurance $26 546%
Christian Care Ministry $26 546%
Dean Health $26 546%
Family Life Insurance Company $26 546%
Ghc Scw $26 546%
Health Smart $26 546%
International Benefit Administrators $26 546%
Lifetime Benefit Solutions $26 546%
Manhattan Life $26 546%
Medi Share $26 546%
Multiplan $26 546%
Mvp $26 546%
Pai $26 546%
Pan-American Life $26 546%
Paramount Hmo $26 546%
Phcs $26 546%
Trinity Health Share $26 546%
Allegiance $28 588%
Health Partners $28 588%
Magnacare $28 588%
United Behavioral Health Eap $31 651%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Chestnut Hill Road, Stafford Springs, CT 06076
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals