CMS Price Transparency Data

Blood test, potassium

Facility: Mercyone Dyersville Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $55
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 11.55x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Mercyone Dyersville Medical Center is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 11.55x the Medicare baseline. Located in 1111 3Rd Street Sw, Dyersville, IA.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $44 (924%)
Insurance Median: $55 (1155%)
Cash: $44 (924% of Medicare)
Ins. Median: $55 (1155% 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 1155% of the Medicare baseline (a markup of 1055%). 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
Health Choices $25 525%
Blue Cross Blue Shield $37 777%
Medicare (plans) $38 - $41 798%
UnitedHealthcare $40 - $47 840%
The Alliance $41 861%
Iowa Total Care $46 966%
Geha $47 987%
Medicaid / KanCare $47 987%
Amish Hospital Aid $50 1050%
1199 National Benefit Fund $55 1155%
Aetna $55 1155%
Allied Benefit Systems $55 1155%
Asr Health Benefits $55 1155%
Christian Brother Services $55 1155%
Coventry $55 1155%
First Health $55 1155%
Luminare Health $55 1155%
Medical Mutual $55 1155%
Meritain $55 1155%
Trustmark Small Business Benefits $55 1155%
Webtpa $55 1155%
Auxiant $60 1261%
Cigna $60 1261%
Medica $60 1261%
Midlands $60 1261%
Midlands Choice $60 1261%
Multiplan $60 1261%
Ambetter / Centene $63 1324%
Crime Victim Assistance $67 1408%
Iowa Dept Of Public Health $67 1408%
Claimdoc $75 1576%
Nova $75 1576%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 3Rd Street Sw, Dyersville, IA 52040
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals