CMS Price Transparency Data

Blood test, potassium

Facility: Van Diest Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $31
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 6.51x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Van Diest Medical Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 6.51x the Medicare baseline. Located in 2350 Hospital Drive, Webster City, IA.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $35 (735%)
Insurance Median: $31 (651%)
Cash: $35 (735% of Medicare)
Ins. Median: $31 (651% 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 651% of the Medicare baseline (a markup of 551%). 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
Amerigroup $20 - $25 420%
Humana $20 420%
Medical Associates $20 - $33 420%
Partners Health Alliance $23 483%
Aetna $25 - $40 525%
Iowa Total Care $25 525%
Molina Healthcare $26 546%
UnitedHealthcare $26 - $40 546%
Midlands Choice $31 651%
Health Alliance-Midwest, Inc. Of Ia $33 693%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2350 Hospital Drive, Webster City, IA 50595
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals