CMS Price Transparency Data

Blood test, potassium

Facility: Community First Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $8
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Community First Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.68x the Medicare baseline. Located in 5645 W Addison Street, Chicago, IL.
Cash / Self-Pay
$16

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $16 (336%)
Insurance Median: $8 (168%)
Cash: $16 (336% of Medicare)
Ins. Median: $8 (168% 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 $2 - $7 42%
Beacon Mcr Op Only - All Other Plans $5 105%
Blue Cross Blue Shield $5 - $11 105%
Harmony Mcr Adv - All Other Plans $5 105%
Meridian Mcr Adv - All Other Plans $5 105%
Molina Marketplace - All Other Plans $5 105%
Molina Mcr Adv $5 105%
Zing Hlth Mcr Adv - All Plans $5 105%
Aetna $6 - $34 126%
Beacon Mcaid Op Only $6 126%
Cchhs Mcaid $6 126%
County Care Mcaid - All Plans $6 126%
Harmony Mcaid $6 126%
Meridian Mcaid $6 126%
Molina Mcaid $6 126%
Cigna $10 - $23 210%
UnitedHealthcare $33 693%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5645 W Addison Street, Chicago, IL 60634
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals