CMS Price Transparency Data

Blood test, potassium

Facility: University of Iowa Hospital & Clinics

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $45
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 9.45x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at University of Iowa Hospital & Clinics is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 9.45x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $50 (1050%)
Insurance Median: $45 (945%)
Cash: $50 (1050% of Medicare)
Ins. Median: $45 (945% 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 945% of the Medicare baseline (a markup of 845%). 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 - $55 105%
American Health Plan $5 105%
Blue Cross Blue Shield $5 - $34 105%
Healthpartners $5 - $60 105%
Iowa Total Care $5 105%
Molina Healthcare $5 105%
UnitedHealthcare $5 - $31 105%
Wellpoint (Amerigroup) $5 105%
Immergrun $18 378%
Medical Associates $30 - $36 630%
Quad City Community Healthcare $36 - $53 756%
Midlands Choice $37 - $46 777%
Oscar Health $45 945%
Great River Health Systems $46 - $50 966%
Aplos Health Plan $57 1197%
Sedgwick $57 1197%
Global Excel $60 1261%
Sanford Health Plan $60 1261%
Sisco $62 1303%
Employee Benefit Systems $64 1345%
Healthsmart $64 1345%
Hfn $65 1366%
Multiplan $65 1366%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Hawkins Drive, Iowa City, IA 52242
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals