CMS Price Transparency Data

Blood test, potassium

Facility: Holy Family Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Holy Family Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 100 N River Rd, Des Plaines, IL.
Cash / Self-Pay
$4

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $4 (84%)
Insurance Median: $5 (105%)
Cash: $4 (84% of Medicare)
Ins. Median: $5 (105% 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
Cigna $3 63%
Aetna $4 - $7 84%
Blue Cross Blue Shield $4 - $7 84%
Countycare $4 84%
Humana $4 - $5 84%
Medicaid / KanCare $4 84%
Meridian $4 - $5 84%
Molina $4 - $7 84%
Celtic (Wellcare) $5 105%
Clear Spring Health Of Illinois $5 105%
Devoted Health $5 105%
Essential Health Partners $5 105%
Illinois Physicians Alliance $5 105%
Longevity Health Plan Of Illinois $5 105%
Medicare (plans) $5 105%
Provider Partners Health Plan (Pphp) $5 105%
Ravenswood Physicians Associates Ipa $5 105%
Resurrection Physicians Provider Group Ipa $5 - $6 105%
Self-Pay $5 105%
Tricare $5 105%
United Behavioral Health $5 105%
UnitedHealthcare $5 - $6 105%
Zing Health Provider Network $5 105%
Access Community Health Network $6 126%
Clifton Health Systems $7 147%
Imagine Health Network $7 147%
Ambetter / Centene $8 168%
Health Link, Inc. $37 777%
Coventry $42 882%
Workers Comp $42 882%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 N River Rd, Des Plaines, IL 60016
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL