CMS Price Transparency Data

Blood test, potassium

Facility: St Anthony Regional Hospital & Nursing Home

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $6
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at St Anthony Regional Hospital & Nursing Home is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.26x the Medicare baseline. Located in 311 South Clark Street, Carroll, IA.
Cash / Self-Pay
$11

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $11 (231%)
Insurance Median: $6 (126%)
Cash: $11 (231% of Medicare)
Ins. Median: $6 (126% 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.

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
Humana $3 - $12 63%
Ia Total Care Mcaid $3 - $6 63%
Ia Total Care Mcr $3 - $5 63%
Medica Mcr - All Plans $3 - $5 63%
Wellpoint Mcaid - All Other Plans $3 - $6 63%
Wellpoint Mcr Adv $3 - $5 63%
Aetna $5 - $13 105%
Molina Mcaid - All Plans $6 126%
UnitedHealthcare $6 - $11 126%
Ia Total Care Comm - All Other Plans $7 147%
Midlands Choice - All Plans $8 - $13 168%
Wellmark Hmo $20 420%
Wellmark Ppo-All Other Plans $23 483%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 311 South Clark Street, Carroll, IA 51401
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals