CMS Price Transparency Data

Blood test, potassium

Facility: Deaconess Illinois Crossroads

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $17
  • Cash Discount Price: $56
  • vs. Medicare Baseline: 3.57x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Deaconess Illinois Crossroads is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 3.57x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$56

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $56 (1176%)
Insurance Median: $17 (357%)
Cash: $56 (1176% of Medicare)
Ins. Median: $17 (357% 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 357% of the Medicare baseline (a markup of 257%). 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
UnitedHealthcare $3 - $148 63%
Aetna $4 - $201 84%
Blue Cross Blue Shield $4 - $121 84%
Meridian Health Plan $4 - $5 84%
Molina Healthcare Of Illinois $4 - $5 84%
Wellcare $4 - $5 84%
Alliance Coal $5 105%
Care Improvement Plus $5 105%
Deaconess Onecare $5 - $135 105%
Encore Combined $5 - $155 105%
Encore Prime/Elite/Elite + $5 - $140 105%
Humana $5 - $199 105%
Mytru Advantage $5 105%
Umwa $5 105%
Alter-Net Medical Services, Inc. $8 - $89 168%
Noncontracted $8 168%
Self-Pay $9 - $56 189%
Cigna $10 - $99 210%
Hope Trust $14 - $89 294%
Prime Health Services $20 - $191 420%
Guardian Resources, Inc. $22 - $214 462%
Healthcare'S Finest Network (Hfn) $22 - $216 462%
Medicalcontrol Network Solutions $22 - $216 462%
National Provider Network $22 - $216 462%
Beech Street $23 - $224 483%
Three Rivers Provider Network $23 - $222 483%
Wexford Health Sources $115 - $178 2416%
Great West Healthcare Of Illinois $191 4013%
Multiplan - Primary Network - Phcs $200 4202%
Healthlink $204 - $216 4286%
Coventry Healthcare $214 4496%
First Health $214 4496%
Multiplan - Complementary Network $217 4559%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals