CMS Price Transparency Data

Blood test, potassium

Facility: Mercyone North Iowa Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $8
  • Cash Discount Price: $116
  • vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Mercyone North Iowa Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.68x the Medicare baseline. Located in 1000 Fourth Street Sw, Mason City, IA.
Cash / Self-Pay
$116

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $116 (2437%)
Insurance Median: $8 (168%)
Cash: $116 (2437% of Medicare)
Ins. Median: $8 (168% 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
Aetna $5 - $22 105%
Blue Cross Blue Shield $5 105%
Geha $5 105%
Iowa Total Care $5 105%
Medicaid / KanCare $5 105%
Medicare (plans) $5 105%
UnitedHealthcare $5 - $42 105%
Amish Hospital Aid $6 126%
Centivo $6 126%
Oscar $6 126%
Ambetter / Centene $8 168%
Iowa Dept Of Public Health $9 - $42 189%
Claimdoc $10 210%
Nova $10 210%
Health Choices $11 231%
Medical Associates $11 231%
1199 National Benefit Fund $22 462%
Allied Benefit Systems $22 462%
Asr Health Benefits $22 462%
Christian Brother Services $22 462%
Coventry $22 462%
First Health $22 462%
Lucent Health $22 462%
Luminare Health $22 462%
Medical Mutual $22 462%
Meritain $22 462%
Trustmark Small Business Benefits $22 462%
Webtpa $22 462%
Preferred One $27 567%
Health Partners $28 588%
Auxiant $29 609%
Cigna $29 609%
Medica $29 609%
Midlands $29 609%
Midlands Choice $29 609%
Mhnet $34 714%
Multiplan $38 798%
Crime Victim Assistance $42 882%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Fourth Street Sw, Mason City, IA 50401
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals