CMS Price Transparency Data

Blood test, potassium

Facility: Athur M Blank Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $134
Cash Discount Price: $179
vs. Medicare Baseline: 28.15x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Athur M Blank Hospital is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 28.15x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$179

Average discount available for prompt cash payment at this facility.

Insurance Median

$134

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: $179 (3761%)

Insurance Median: $134 (2815%)

Cash: $179 (3761% of Medicare)

Ins. Median: $134 (2815% 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 2815% of the Medicare baseline (a markup of 2715%). 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
Caresource [61]	$6	126%
Peachstate [43]	$6	126%
Amerigroup [102]	$7	147%
Cigna	$103 - $134	2164%
Ambetter / Centene	$104 - $135	2185%
Blue Cross Blue Shield	$104 - $197	2185%
United [5]	$104 - $134	2185%
Aetna	$105 - $136	2206%
Oscar [228]	$105 - $135	2206%
Caresource Marketplace Bronze/Silver/Gold [60]	$106 - $137	2227%
Kaiser [6]	$106 - $138	2227%
Sidecar Health [236]	$108 - $139	2269%
Coventry [9]	$109 - $142	2290%
Direct Employer Agreements [72]	$109 - $172	2290%
First Health [74]	$117 - $152	2458%
Northeast Georgia Heatlh System [808]	$117 - $152	2458%
Veracity Benefits [809]	$117 - $152	2458%
Phcs [93]	$133 - $172	2794%
Secure Health [340]	$133 - $172	2794%
Beech Street [71]	$140 - $182	2941%
Multiplan [92]	$153 - $198	3214%
Novanet [41]	$156 - $202	3277%

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 $179.
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 Athur M Blank 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.