CMS Price Transparency Data

Blood test, potassium

Facility: Iowa Specialty Hospital - Belmond

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $8
Cash Discount Price: $6
vs. Medicare Baseline: 1.68x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Iowa Specialty Hospital - Belmond is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.68x the Medicare baseline. Located in 403 First Street Se, Belmond, IA.

Cash / Self-Pay

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $6 (126%)

Insurance Median: $8 (168%)

Cash: $6 (126% 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.

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
Aetna	$2 - $68	42%
Tricare	$2 - $23	42%
Triwest Va Choice And Pc3-All Plans	$2 - $23	42%
UnitedHealthcare	$2 - $63	42%
Healthscope Stellar - All Plans	$4 - $38	84%
Auxiant Clarion Schools-All Plans	$5 - $47	105%
Health Partners Prestage	$5 - $54	105%
Health Partners Ish-All Other Plans	$6 - $58	126%
Cigna	$7 - $70	147%
Midlands Choice-All Plans	$7 - $70	147%
Wellmark Hmo	$32	672%
Wellmark Ppo-All Other Plans	$35	735%

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 $6.
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 Iowa Specialty Hospital - Belmond 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.