CMS Price Transparency Data

Blood test, potassium

Facility: Anderson Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $7
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Anderson Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.47x the Medicare baseline. Located in 6800 State Route 162, Maryville, IL.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $50 (1050%)
Insurance Median: $7 (147%)
Cash: $50 (1050% of Medicare)
Ins. Median: $7 (147% 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
Medicaid / KanCare $4 - $6 84%
Tricare $4 - $5 84%
Aetna $5 - $7 105%
Clear Springs Health $5 105%
Devoted Health Ppo $5 105%
Essence $5 105%
Humana $5 105%
Medicare (plans) $5 105%
UnitedHealthcare $5 - $8 105%
Health Care Service Corporation $6 - $46 126%
Ambetter / Centene $7 147%
Blue Choice $7 147%
Mercy Aco $8 168%
Mercy Benefit Admin $8 168%
Hopetrust $12 252%
Work Comp $19 - $26,600 399%
Healthlink $25 525%
Self Pay $50 - $25,000 1050%
Blue Cross Blue Shield $54 - $55 1134%
Cigna $75 1576%
Multiplan/Phcs $75 1576%
Beech Street Corporation $90 1891%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6800 State Route 162, Maryville, IL 62062
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals