CMS Price Transparency Data

Blood test, potassium

Facility: St Marys Good Samaritan Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $28
Cash Discount Price: $67
vs. Medicare Baseline: 5.88x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at St Marys Good Samaritan Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 5.88x the Medicare baseline. Located in 5401 Lake Oconee Parkway, Greensboro, GA.

Cash / Self-Pay

$67

Average discount available for prompt cash payment at this facility.

Insurance Median

$28

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: $67 (1408%)

Insurance Median: $28 (588%)

Cash: $67 (1408% of Medicare)

Ins. Median: $28 (588% 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 588% of the Medicare baseline (a markup of 488%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amerigroup	$6	126%
Blue Cross Blue Shield	$20 - $74	420%
Aetna	$28 - $82	588%
Ambetter / Centene	$28	588%
Care Improvement Plus	$28	588%
Caresource	$28	588%
Cigna	$28 - $84	588%
Coventry	$28 - $77	588%
Eon Health Plan	$28	588%
Humana	$28 - $77	588%
Kaiser Permanente	$28	588%
Molina	$28	588%
Pruitthealth Premier	$28	588%
Todays Options Pffs	$28	588%
Todays Options Ppo	$28	588%
UnitedHealthcare	$28 - $2,632	588%
Vaccn United	$28	588%
Wellcare	$28	588%
First Health	$77	1618%
Phcs	$77	1618%
Meritain	$82	1723%
Multiplan	$88 - $90	1849%
Nova	$88 - $93	1849%
Three Rivers Provider Network	$93	1954%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $67.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84132.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Marys Good Samaritan Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84132.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.