CMS Price Transparency Data

Blood test, potassium

Facility: Mercyone Centerville Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $63
  • Cash Discount Price: $67
  • vs. Medicare Baseline: 13.24x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Mercyone Centerville Medical Center is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 13.24x the Medicare baseline. Located in One St Joseph's Drive, Centerville, IA.
Cash / Self-Pay
$67

Average discount available for prompt cash payment at this facility.

Insurance Median
$63

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: $67 (1408%)
Insurance Median: $63 (1324%)
Cash: $67 (1408% of Medicare)
Ins. Median: $63 (1324% 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 1324% of the Medicare baseline (a markup of 1224%). 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
Iowa Total Care $18 378%
Medicare (plans) $18 - $20 378%
Aetna $19 - $63 399%
Blue Cross Blue Shield $19 399%
Medicaid / KanCare $19 399%
UnitedHealthcare $21 - $67 441%
Amish Hospital Aid $26 546%
Ambetter / Centene $33 693%
Claimdoc $39 819%
Nova $39 819%
Geha $48 1008%
Health Choices $51 1071%
Medical Associates $51 1071%
1199 National Benefit Fund $63 1324%
Allied Benefit Systems $63 1324%
Asr Health Benefits $63 1324%
Christian Brother Services $63 1324%
Coventry $63 1324%
First Health $63 1324%
Lucent Health $63 1324%
Luminare Health $63 1324%
Medical Mutual $63 1324%
Meritain $63 1324%
Trustmark Small Business Benefits $63 1324%
Webtpa $63 1324%
Health Partners $64 1345%
Auxiant $66 1387%
Cigna $66 1387%
Medica $66 1387%
Midlands $66 1387%
Midlands Choice $66 1387%
Crime Victim Assistance $67 1408%
Iowa Dept Of Public Health $67 1408%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One St Joseph's Drive, Centerville, IA 52544
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals