CMS Price Transparency Data

Blood test, potassium

Facility: The Women's Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $79
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at The Women's Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$79

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: $79 (1660%)
Insurance Median: $5 (105%)
Cash: $79 (1660% 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 $2 - $9 42%
Blue Cross Blue Shield $2 - $5 42%
UnitedHealthcare $3 - $107 63%
Aetna $4 - $31 84%
Meridian Health Il $4 - $5 84%
Molina Il $4 - $5 84%
Alliance Coal $5 - $93 105%
Ambetter / Centene $5 - $7 105%
Caresource $5 105%
Caresource Hip $5 105%
Caresource In $5 105%
Chamber Care $5 - $16 105%
Humana $5 105%
Iu Health $5 - $67 105%
Mdwise Hip $5 105%
Mhs $5 105%
Mhs Behavioral $5 105%
Molina Ky $5 105%
Molina Ky Dual $5 105%
Passport Molina Ky $5 - $31 105%
Patoka Valley Health Care (80/20 Plan) $5 105%
Patoka Valley Health Care (90/10 Plan) $5 105%
Wellcare Ky $5 - $31 105%
Caresource Marketplace (Just4Me) $6 - $7 126%
Hst $6 - $7 126%
One Care $6 - $93 126%
Allied National/Zelis - Freedom Plan $7 - $12 147%
Claimdoc $7 147%
Encorecombined $7 - $93 147%
Encoreprime $7 - $91 147%
Cigna $8 - $96 168%
Claritev (Formerly Phcs/Mulitplan) $8 - $92 168%
First Health/Coventry $8 - $99 168%
Healthlink $8 - $114 168%
Hope Trust $8 168%
Noncontracted $8 168%
Sagamore $8 - $96 168%
Self Pay $9 - $79 189%
Center Care $16 - $104 336%
Immergrun $56 1176%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals