CMS Price Transparency Data

Blood test, potassium

Facility: Sartori Memorial Hospital, Inc

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $10
  • Cash Discount Price: $37
  • vs. Medicare Baseline: 2.10x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Sartori Memorial Hospital, Inc is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 2.10x the Medicare baseline. Located in 515 College Street, Cedar Falls, IA.
Cash / Self-Pay
$37

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: $37 (777%)
Insurance Median: $10 (210%)
Cash: $37 (777% 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 - $13 105%
Blue Cross Blue Shield $5 105%
Geha $5 105%
Iowa Total Care $5 105%
Medicaid / KanCare $5 105%
Medicare (plans) $5 105%
UnitedHealthcare $5 - $45 105%
Amish Hospital Aid $6 126%
Oscar $7 147%
Ambetter / Centene $8 168%
Centivo $8 168%
Claimdoc $10 210%
Nova $10 210%
Health Choices $11 231%
Medical Associates $11 231%
Allied Benefit Systems $13 273%
Asr Health Benefits $13 273%
Coventry $13 273%
First Health $13 273%
Lucent Health $13 273%
Luminare Health $13 273%
Medical Mutual $13 273%
Meritain $13 273%
Webtpa $13 273%
Health Partners $15 315%
Auxiant $32 672%
Cigna $32 672%
Medica $32 672%
Midlands $32 672%
Midlands Choice $32 672%
Iowa Dept Of Public Health $45 945%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 515 College Street, Cedar Falls, IA 50613
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals