CMS Price Transparency Data

Blood test, potassium

Facility: Kossuth Regional Health Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $48
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 10.08x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Kossuth Regional Health Center is $48. 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 10.08x the Medicare baseline. Located in 1515 South Phillips Street, Algona, IA.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $48 (1008%)
Cash: $50 (1050% of Medicare)
Ins. Median: $48 (1008% 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 1008% of the Medicare baseline (a markup of 908%). 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
Blue Cross Blue Shield $6 - $7 126%
Amerigroup Mcr Adv - All Other Plans $24 504%
Humana $24 504%
Mercy One - All Plans $24 504%
Va Ccn - All Plans $24 504%
UnitedHealthcare $25 - $48 525%
Health Partners New Bus - All Other Plans $44 924%
Midlands Choice - All Plans $44 924%
Medical Associates - All Plans $54 1134%
Preferred Health - All Plans $54 1134%
Aetna $59 - $61 1239%
Multiplan - All Plans $60 1261%
Health Partners Exisiting Bus $61 1282%
Molina Mcaid/Chip - All Plans $65 1366%
Amerigroup Mcaid $66 1387%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 South Phillips Street, Algona, IA 50511
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals