CMS Price Transparency Data

Blood test, potassium

Facility: Bluffton Regional Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $6
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Bluffton Regional Medical Center is $6. 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 1.26x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$4

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $6 (126%)
Cash: $4 (84% of Medicare)
Ins. Median: $6 (126% 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 - $39 21%
Self Pay $1 - $89 21%
Aetna $2 - $72 42%
Blue Cross Blue Shield $2 - $8 42%
Cigna $2 - $57 42%
Lutheran Preferred Network $2 - $129 42%
Lutheran Trma $2 - $72 42%
Php Management Systems $2 - $62 42%
Encore Ppo $3 - $79 63%
Sagamore Health Newtork Inc $3 - $86 63%
Sagamore Sebt $3 - $82 63%
UnitedHealthcare $3 - $80 63%
Ahg Dana Employees $4 - $105 84%
Align Networks $4 - $113 84%
Consumer Life $4 - $100 84%
Northeast Hospice $4 - $113 84%
Physicians Health Plan $4 - $11 84%
Prime Health Services $4 - $121 84%
Private Healthcare Systems Inc $4 - $121 84%
Tricare $4 84%
Advantage 360 $5 - $134 105%
Allied Benefit Systems $5 - $145 105%
Cardinal Health Alliance $5 - $145 105%
Caresource $5 105%
Community Health Alliance $5 - $137 105%
County Jail Health Care $5 105%
Department Of Veterans Affairs $5 105%
Encore Health Network $5 - $145 105%
First Health $5 - $138 105%
Humana $5 105%
In Dept Of Correction $5 105%
Medicaid / KanCare $5 105%
Medicare (plans) $5 105%
Mhs $5 105%
Mhs In Hip $5 105%
Multiplan $5 - $129 105%
Node Caresource Mcr Adv $5 105%
Node Devoted Health Mcr Adv $5 105%
Node Iu Health Mcr Adv $5 105%
Node Mhs Mcr Adv $5 105%
Node Non Par Hospice Agree $5 105%
Node Pphp Mcr Adv $5 105%
Node Va $5 105%
Php $5 - $12 105%
Php Freedom Network $5 - $9 105%
Ppom $5 - $145 105%
Veterans Eval Services $5 105%
Us Department Of Labor $6 126%
Lutheran Advanced Network $7 147%
Lutheran Three Rivers Preferred Plus 150 $7 147%
Lutheran Three Rivers Preferred Plus 175 $8 168%
Encore Work Comp In $9 189%
Lutheran Northwest Health Preferred $10 210%
Managed Health Services Exchange $10 210%
Workers Compensation $10 210%
Encore Kba Epo $11 231%
Encore Kba Ppo $14 294%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals