CMS Price Transparency Data

Blood test, potassium

Facility: Kosciusko Community Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $7
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Kosciusko Community Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.47x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $5 (105%)
Insurance Median: $7 (147%)
Cash: $5 (105% of Medicare)
Ins. Median: $7 (147% 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%
Self Pay $1 - $57 21%
Aetna $2 - $77 42%
Blue Cross Blue Shield $2 - $8 42%
Encore $2 - $58 42%
Lutheran Preferred Network $2 - $116 42%
Php Freedom Network $2 - $56 42%
Physicians Health Plan $2 - $67 42%
Trma Inc $2 - $65 42%
UnitedHealthcare $2 - $76 42%
Cigna $3 - $92 63%
Connecticut General Life Insurance Company $3 - $85 63%
Advantage Health $4 - $120 84%
First Health Network $4 - $109 84%
Prime Health Services $4 - $109 84%
Private Healthcare Systems $4 - $125 84%
Sagamore $4 - $136 84%
Tricare $4 84%
Caresource $5 105%
Department Of Veterans Affairs $5 105%
Encore Health Network $5 - $135 105%
Humana $5 105%
In Dept Of Correction $5 105%
Iu Health $5 105%
Managed Health Services $5 105%
Medicaid / KanCare $5 105%
Medicare (plans) $5 105%
Mhs $5 105%
Node Devoted Health Mcr Adv $5 105%
Node Non Par Hospice Agree $5 105%
Node Pphp Mcr Adv $5 105%
Node Va $5 105%
Veterans Eval Services $5 105%
Us Department Of Labor $6 126%
Lutheran Advanced Network $7 147%
Lutheran Preferred $7 - $10 147%
Align In Work Comp $8 168%
One Call Work Comp $8 168%
Encore Work Comp In $9 189%
Managed Health Services Exchange $10 210%
Workers Comp $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: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals