CMS Price Transparency Data

Blood test, potassium

Facility: Montgomery County Memorial Hospital

Billing Code: 84132 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$21
about 4.2× the $5 Medicare rate · typically $6–$46
modeled estimate · not a bill or quote
Medicare pays $5 Fair price $21 Cash price $33 Hospital's list price $47

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $5 105%
Blue Cross Blue Shieldmajor $30 - $34 630%
Aetnamajor $45 945%
Medica $24 - $40 504%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 2301 Eastern Avenue, Red Oak, IA 51566
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals