CMS Price Transparency Data

Blood test, potassium

Facility: Perry County Memorial Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $26
  • Cash Discount Price: $69
  • vs. Medicare Baseline: 5.46x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Perry County Memorial Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 5.46x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.
Cash / Self-Pay
$69

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $69 (1450%)
Insurance Median: $26 (546%)
Cash: $69 (1450% of Medicare)
Ins. Median: $26 (546% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 546% of the Medicare baseline (a markup of 446%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Bc 130 $2 - $79 42%
Group Insurance $2 - $99 42%
Nsa $2 - $61 42%
Medicaid / KanCare $5 - $99 105%
Medicare (plans) $5 - $26 105%
Veterans Administration $5 - $99 105%
Workers Compensation $50 1050%
Guarantor Liable $69 - $99 1450%
Pcmh Insurnace $77 - $99 1618%
Secondary Insurance $79 1660%
UnitedHealthcare $79 1660%
Operating Engineers $84 1765%
Boilermakers Healthcare $86 1807%
Cigna $86 1807%
Great West $86 - $99 1807%
Sagxxxx $86 1807%
Champus $99 2080%
Ngs American, Inc $99 2080%
Patoka Valley $99 2080%
Southwire $99 2080%
Tricare $99 2080%
Wausau Benefits $99 2080%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8885 Sr 237, Tell City, IN 47586
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals