CMS Price Transparency Data

Blood test, potassium

Facility: Northwest Health - Starke

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $6
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Northwest Health - Starke is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.26x the Medicare baseline. Located in 102 E Culver Rd, Knox, IN.
Cash / Self-Pay
$8

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: $8 (168%)
Insurance Median: $6 (126%)
Cash: $8 (168% 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
Lutheran $1 - $19 21%
Self Pay $1 - $39 21%
Alpha Baking $2 - $32 42%
Blue Cross Blue Shield $2 - $8 42%
Medpartners $2 - $24 42%
Physicians Health Plan $2 - $30 42%
Encore $3 - $62 63%
Php $3 - $43 63%
Aetna $4 - $62 84%
Cigna $4 - $59 84%
Coventry First Health $4 - $62 84%
Lutheran Network $4 - $63 84%
Multiplan Inc $4 - $64 84%
Sagamore Health Network $4 - $63 84%
Tricare $4 84%
UnitedHealthcare $4 - $51 84%
Caresource $5 105%
Community Health Alliance $5 - $64 105%
Humana $5 105%
In Dept Of Correction $5 105%
Managed Health Services $5 - $10 105%
Medicaid / KanCare $5 105%
Medicare (plans) $5 105%
Mhs $5 105%
Node Champva $5 105%
Node Devoted Health Mcr Adv $5 105%
Node Hospice Non Par Agree $5 105%
Node Pphp Mcr Adv $5 105%
Node Va $5 105%
Ppom $5 - $67 105%
Us Department Of Labor $6 126%
Indiana Workers Comp $10 210%
Encore Kba Epo $11 231%
Magnacare Ma $11 231%
Encore Kba Ppo $14 294%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 102 E Culver Rd, Knox, IN 46534
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals