CMS Price Transparency Data

Blood test, potassium

Facility: Dukes Memorial Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $8
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Dukes Memorial Hospital is $8. 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 1.68x the Medicare baseline. Located in 275 W 12Th St, Peru, IN.
Cash / Self-Pay
$8

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: $8 (168%)
Insurance Median: $8 (168%)
Cash: $8 (168% 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 - $26 42%
Aetna $3 - $38 63%
Department Of Veterans Affairs $3 - $15 63%
Humana $3 - $16 63%
In Dept Of Correction $3 - $17 63%
Iu Health Plan $3 - $16 63%
Managed Health Services $3 - $32 63%
Medicare (plans) $3 - $16 63%
Miami County Sheriffs Department $3 - $17 63%
Node Devoted Health Mcr Adv $3 - $16 63%
Node Pphp Mcr Adv $3 - $17 63%
Node Va $3 - $39 63%
Tricare $3 - $15 63%
UnitedHealthcare $3 - $39 63%
Lutheran Advanced Network $4 - $24 84%
Lutheran Three Rivers Preferred Plus 150 $4 - $24 84%
Node Lutheran Preferred Fixed 2 $4 - $24 84%
Align Network $5 - $26 105%
Caresource $5 105%
Encore Work Comp In $5 - $29 105%
Lutheran Preferred $5 - $64 105%
Lutheran Three Rivers Preferred Plus 175 $5 - $28 105%
Medicaid / KanCare $5 105%
Mhs $5 105%
Prime Health Services $5 - $60 105%
Veterans Eval Services $5 105%
Cigna $6 - $80 126%
Lutheran Northwest Health Preferred $6 - $32 126%
Partners Direct Health Llc $6 - $30 126%
Physicians Health Plan $6 - $37 126%
Three Rivers Preferred Plus $6 - $32 126%
Us Department Of Labor $6 126%
Work Comp $6 - $32 126%
Amish Aid $7 - $40 147%
Encore Kba Epo $7 - $38 147%
Encore Ppo $7 - $40 147%
Php Freedom $7 - $37 147%
Self Pay $7 - $44 147%
Three Rivers Preferred $7 - $36 147%
Sagamore Health Network $8 - $44 168%
Consumer Life $9 - $50 189%
Encore Kba Ppo $9 - $48 189%
Advantage Health Solutions $12 - $66 252%
Encore Health Network $12 - $66 252%
First Health $12 - $64 252%
Multiplan $12 - $65 252%
Encore $13 - $72 273%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 275 W 12Th St, Peru, IN 46970
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals