Blood test, potassium
Facility: Saint John Hospital
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $5
- Cash Discount Price: $4
- vs. Medicare Baseline: 1.05x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Celtic | $4 - $30 | 84% |
| Medicaid / KanCare | $4 | 84% |
| UnitedHealthcare | $4 - $7 | 84% |
| Healthy Blue | $4 - $5 | 84% |
| Tricare | $5 | 105% |
| Medicare (plans) | $5 | 105% |
| Kansas Superior Select | $5 | 105% |
| Blue Cross Blue Shield | $5 - $10 | 105% |
| Midland Care Connection | $5 | 105% |
| Aetna | $5 - $8 | 105% |
| Cigna | $5 | 105% |
| Corizon | $7 | 147% |
| Naphcare | $7 | 147% |
| Employer Direct Healthcare | $7 | 147% |
| Well Path | $7 | 147% |
| Centurion | $7 | 147% |
| Comp Alliance Workers Comp | $9 | 189% |
| Oha Networks | $10 | 210% |
| Worker Compensation | $10 | 210% |
Consumer Guidance & Cost Commentary
For the blood test code 84132 (Potassium), Saint John Hospital in Leavenworth, KS, lists a cash median price of $4.00, which is significantly lower than the facility's negotiated rates of $5.00 and the Medicare benchmark of $4.76. While the gross charge is $85.00, commercial payers negotiate rates that range from $4.00 to $7.00 depending on the plan, with the lowest negotiated amount matching the cash price. Patients with high-deductible plans may find paying the cash median of $4.00 more cost-effective than relying on insurance, as the negotiated rates for many plans exceed the cash price, and hospitals often offer prompt-pay discounts of 20% to 50% for upfront payment to bypass administrative claim processing costs.
It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details before scheduling. The facility's ownership as a voluntary non-profit and its location in Kansas do not alter the fact that commercial rates often include administrative markups of 20% to 40% compared to the true cost represented by Medicare. To ensure you receive the most accurate pricing, always request an itemized bill before paying, as summary bills can obscure individual charges, and ask specifically about self-pay or prompt-pay discounts prior to check-in to avoid unexpected costs.