CMS Price Transparency Data

Blood test, potassium

Facility: Warner Hospital and Health Services

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $65
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 13.66x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Warner Hospital and Health Services is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 13.66x the Medicare baseline. Located in 422 W White St, Clinton, IL.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$65

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: $84 (1765%)
Insurance Median: $65 (1366%)
Cash: $84 (1765% of Medicare)
Ins. Median: $65 (1366% 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 1366% of the Medicare baseline (a markup of 1266%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $17 - $71 357%
Blue Cross Blue Shield $17 - $82 357%
Harmony Hp Mcaid-All Plans $17 357%
Medicaid / KanCare $17 357%
Meridian Hp-All Plans $17 357%
Molina-All Other Plans $17 357%
Health Alliance Med Adv $34 714%
Humana $34 - $71 714%
Molina Mcr/Mcd Dual $34 714%
UnitedHealthcare $34 - $71 714%
Wellcare Mcr Adv-All Plans $34 714%
Healthlink Hmo $65 1366%
City Of Clinton (Employees Serv)-All Plans $67 1408%
Cigna $70 1471%
Caterpillar-All Plans $71 1492%
Multiplan Phcs-All Plans $71 1492%
Health Alliance-All Other Plans $74 1555%
Healthlink Ppo/Work Comp-All Other Plans $74 1555%
Consociate Care Ppo-All Plans $76 1597%
Hfn Ppo/Epo-All Plans $76 1597%
Three Rivers-All Plans $80 1681%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 422 W White St, Clinton, IL 61727
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals