CMS Price Transparency Data

Blood test, potassium

Facility: Shirley Ryan Abilitylab

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $66
Cash Discount Price: $54
vs. Medicare Baseline: 13.87x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Shirley Ryan Abilitylab is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 13.87x the Medicare baseline. Located in 355 E Erie St, Chicago, IL.

Cash / Self-Pay

$54

Average discount available for prompt cash payment at this facility.

Insurance Median

$66

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: $54 (1134%)

Insurance Median: $66 (1387%)

Cash: $54 (1134% of Medicare)

Ins. Median: $66 (1387% 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 1387% of the Medicare baseline (a markup of 1287%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Uic Physician Group-Campuscare	$39 - $50	819%
Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co	$42 - $86	882%
State Of Illinois	$42 - $54	882%
Affordable Health Care Concepts	$47 - $61	987%
University Of Chicago Practice Plan	$51 - $66	1071%
Health Care Services Corporation Dba Managed Care Network Preferred	$53 - $69	1113%
Gallagher Benefit Administrators	$58 - $76	1218%
Unicare Life And Health Insurance	$61 - $79	1282%
Private Healthcare Systems	$62 - $81	1303%
Resurrection Health Care Preferred	$62 - $81	1303%
Uic Physician Group	$63 - $82	1324%
Cofinity Aka Ppom	$66 - $86	1387%
Health Payors Organization	$66 - $86	1387%
Healthnetwork	$69 - $89	1450%
Hfn	$70 - $91	1471%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $54.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84132.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Shirley Ryan Abilitylab is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84132.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.