CMS Price Transparency Data

Blood test, potassium

Facility: St Joseph Health System, LLC

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 St Joseph Health System, LLC 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 702 Van Buren St., Fort Wayne, IN.
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
Amish Aid $1 - $30 21%
Blue Cross Blue Shield $1 - $45 21%
Cigna $1 - $123 21%
Lutheran Preferred $1 - $74 21%
Self Pay $1 - $68 21%
Aetna $2 - $84 42%
Encore Ppo $2 - $111 42%
Lutheran Network $2 - $68 42%
Php $2 - $49 42%
Sagamore $2 - $67 42%
Three Rivers $2 - $55 42%
UnitedHealthcare $2 - $61 42%
Advantage Health Solutions $3 - $102 63%
Align Network $3 - $98 63%
First Health $3 - $92 63%
Frontpath Health Coalition $3 - $98 63%
Multiplan $3 - $96 63%
Prime Health Services $3 - $92 63%
Tricare $3 - $4 63%
Allied Benefit Systems $4 - $111 84%
Department Of Veterans Affairs $4 - $5 84%
Humana $4 - $5 84%
In Dept Of Correction $4 - $5 84%
Managed Health Services $4 - $10 84%
Medical Mutual Of Ohio $4 - $123 84%
Medicare (plans) $4 - $5 84%
Node Devoted Health Mcr Adv $4 - $5 84%
Node Hospice Non Par Agree $4 - $5 84%
Node Pphp Mcr Adv $4 - $5 84%
Node Va $4 - $5 84%
Parkview Healthplan Services $4 - $123 84%
Php Freedom Network $4 - $9 84%
Value Options $4 - $123 84%
Veterans Eval Services $4 - $5 84%
Caresource $5 105%
Medicaid / KanCare $5 105%
Us Department Of Labor $5 - $6 105%
Lutheran Advanced Network $6 - $7 126%
Encore Work Comp In $7 - $9 147%
Work Comp $8 - $10 168%
Encore Kba Epo $10 - $11 210%
Encore Kba Ppo $12 - $14 252%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 702 Van Buren St., Fort Wayne, IN 46802
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals