CMS Price Transparency Data

Blood test, potassium

Facility: The Orthopaedic Hospital of Lutheran Health Networ

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $8
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at The Orthopaedic Hospital of Lutheran Health Networ is $8. 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 1.68x the Medicare baseline. Located in 7952 W Jefferson Blvd, Ft Wayne, IN.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $8 (168%)
Cash: $5 (105% of Medicare)
Ins. Median: $8 (168% 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
Blue Cross Blue Shield $2 - $8 42%
Amish Aid $4 - $25 84%
Lutheran Preferred $4 - $56 84%
Physicians Health Plan $4 - $36 84%
Self Pay $4 - $25 84%
Tricare $4 84%
UnitedHealthcare $4 - $46 84%
Aetna $5 - $46 105%
Caresource $5 105%
Cigna $5 - $94 105%
Department Of Veterans Affairs $5 105%
Humana $5 105%
In Dept Of Correction $5 105%
Iu Health Plan $5 105%
Managed Health Services $5 - $10 105%
Medicaid / KanCare $5 105%
Medicare (plans) $5 105%
Mhs $5 105%
Node Devoted Health Mcr Adv $5 105%
Node Hospice Non Par Agree $5 105%
Node Mhs Mcr Adv $5 105%
Node Pphp Mcr Adv $5 105%
Node Va $5 105%
One Call Work Comp $5 105%
Php Freedom Network $5 - $9 105%
Police And Sheriff $5 105%
Small Business Aid $5 105%
Node Us Dept Of Labor $6 126%
Three Rivers Preferred $6 - $42 126%
Lutheran Advanced Network $7 147%
Node Lutheran Three Rivers Preferred Plus 150 $7 147%
Occunet In Work Comp $7 147%
Sagamore $7 - $51 147%
Align Network $8 168%
Encore Ppo $8 - $47 168%
Node Lutheran Three Rivers Preferred Plus 175 $8 168%
Encore Wc $9 189%
Medrisk In Work Comp $9 189%
Objective Surgical $9 189%
Prime Health Services $9 - $70 189%
Three Rivers Preferred In Work Comp $9 189%
In Work Comp $10 210%
Lutheran Network $10 210%
Multiplan $10 - $73 210%
Encore Kba Epo $11 231%
Encore $12 - $75 252%
First Health $12 - $72 252%
Encore Kba Ppo $14 294%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7952 W Jefferson Blvd, Ft Wayne, IN 46804
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals