CMS Price Transparency Data

Blood test, potassium

Facility: Monroe Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $7
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Monroe Hospital is $7. 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 1.47x the Medicare baseline. Located in 4011 S Monroe Medical Park Blvd, Bloomington, IN.
Cash / Self-Pay
$4

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: $4 (84%)
Insurance Median: $7 (147%)
Cash: $4 (84% 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
Aetna $5 105%
Blue Cross Blue Shield $5 - $9 105%
Care Source $5 - $7 105%
Medicaid / KanCare $5 105%
Medicare (plans) $5 105%
Monroe Medical Group And Managed Health Services $5 - $6 105%
Provider Partners Health Plan $5 105%
Tricare $5 105%
UnitedHealthcare $5 105%
Usa Senior Care Network $5 105%
Worthington Christian Fellowship $5 105%
Employer Direct Healthcare $7 147%
Americas Choice Provider Network Acpn $8 - $9 168%
Corvel Workers Compensation $8 168%
Encore Health Network Workers Compensation $8 - $9 168%
Multiplan $8 - $9 168%
Prime Health Services $8 - $9 168%
Provider Network Of America $8 - $10 168%
Provider Select $8 - $9 168%
Three Rivers $8 - $9 168%
Workers Compensation $8 - $10 168%
Zelis Healthcare Fka Stratose $8 - $9 168%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals