CMS Price Transparency Data

Blood test, potassium

Facility: Saint Mary's Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $320
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Saint Mary's Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $320. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 56 Franklin Street, Waterbury, CT.
Cash / Self-Pay
$320

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $320 (6723%)
Insurance Median: $5 (105%)
Cash: $320 (6723% of Medicare)
Ins. Median: $5 (105% 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 - $5 84%
Aetna $5 - $9 105%
Bcn Domestic $5 105%
Blue Benefit Administrators of Massachusetts $5 105%
Blue Care Network $5 105%
Blue Distinction Transplant $5 105%
Blue Shield - Ca $5 105%
Blue Shield - Id (Regence) $5 105%
Blue Shield - Ny Highmark Northeastern $5 105%
Blue Shield - Ny Highmark Western $5 105%
Blue Shield - PA (Highmark) $5 105%
Blue Shield - Wa (Regence) $5 105%
Cca Senior Care Options $5 105%
Cigna $5 - $20 105%
Connecticare $5 105%
Connecticut Dept of Correction $5 - $6 105%
Geha $5 105%
Harvard Pilgrim Healthcare $5 105%
Health Choices $5 105%
Kaiser Domestic $5 105%
Medicare (plans) $5 105%
Pre-Employment $5 105%
Unicare $5 105%
UnitedHealthcare $5 - $25 105%
Wc Domestic $5 105%
Wellpoint $5 105%
Centivo $6 126%
1199 National Benefit Fund $9 189%
Allegiance $9 189%
Allied Benefit Systems $9 189%
Gravie Admin Services $9 189%
Hap $9 189%
Health Partners $9 189%
Luminare Health $9 189%
Magnacare $9 189%
Meritain $9 189%
Nippon Life Ins $9 189%
Webtpa $9 189%
Claimdoc $10 210%
Diversified Administrators $10 210%
Innovative Health Plan II $10 210%
Carelon Behavioral Health $12 252%
Health New England $13 273%
Allied National Global Care $19 399%
Asrm - Reliance Standard Life Insurance $19 399%
Christian Care Ministry $19 399%
Dean Health $19 399%
Fallon Health $19 399%
Family Life Insurance Company $19 399%
Ghc Scw $19 399%
International Benefit Administrators $19 399%
Lifetime Benefit Solutions $19 399%
Manhattan Life $19 399%
Medi Share $19 399%
Multiplan $19 399%
Mvp $19 399%
PHCS $19 399%
Pai $19 399%
Pan-American Life $19 399%
Paramount HMO $19 399%
Trinity Health Share $19 399%
Prime Health Services $20 420%
Health Smart $21 441%
United Behavioral Health Eap $25 525%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals