CMS Price Transparency Data

Blood test, potassium

Facility: University Of Kansas Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $46
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 9.66x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at University Of Kansas Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 9.66x the Medicare baseline. Located in 4000 Cambridge Street, Kansas City, KS.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

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: $14 (294%)
Insurance Median: $46 (966%)
Cash: $14 (294% of Medicare)
Ins. Median: $46 (966% 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 966% of the Medicare baseline (a markup of 866%). 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.

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
Larned State Hospital [503200090] $6 - $35 126%
Alt Carelon Behavioral Health [503200905] $10 - $60 210%
Health Plan Inc [503999941] $10 - $56 210%
Accarent Health [503999034] $10 - $60 210%
Inter-Americas Insurance [503999032] $13 - $72 273%
Med-Pay [503200040] $13 - $72 273%
Cigna $13 - $95 273%
Cerner [503200038] $13 - $72 273%
Healthlink [503200007] $13 - $88 273%
Php [503200005] $13 - $88 273%
Geha [503200036] $13 - $72 273%
Alt Wppa [5032000964] $13 - $72 273%
Allied National [503999937] $13 - $71 273%
Aha-Healthcare Preferred [503200050] $14 - $78 294%
First Health [5032000110] $14 - $78 294%
Correct Care Solutions [50311253] $15 - $83 315%
Coeur Plan Services [503301517] $15 - $83 315%
Consolidated Billing [50311256] $15 - $83 315%
Blue Cross Blue Shield $15 - $91 315%
Ascension Living Hope [503201517] $15 - $83 315%
Alt Lucent Health Solutions [503202603] $16 - $91 336%
Empire Plan/Nyship [503200705] $16 - $91 336%
Alt Lineco [5032000976] $16 - $91 336%
Orscheln Industries [503201608] $16 - $89 336%
Point Comfort Underwriters [503200018] $17 - $95 357%
Century Health Solutions [503200054] $17 - $95 357%
Quiktrip [5032000412] $17 - $95 357%
Meritain Health [503200039] $18 - $100 378%
Wppa [503200056] $18 - $100 378%
Three Rivers Provider Network [503999029] $19 - $107 399%
Sanford Health Plan [503999027] $19 - $107 399%
Plan Care America [503999026] $19 - $107 399%
Usa Managed Care [503999030] $19 - $107 399%
Employers Health Network [503999025] $19 - $107 399%
Workers Comp [503999901] $20 - $113 420%

Consumer Guidance & Cost Commentary

For this blood test for potassium at University Of Kansas Hospital, the cash price of $14.00 is significantly lower than the facility's gross charge of $70.00 and the median negotiated rate of $46.00. While the facility's cash rate is higher than the state average of $4.76, it remains well below the highest negotiated rates seen among payers like Meritain Health and Workers Comp, which range up to $113.00. Patients with high-deductible plans may find the cash price more affordable than their insurance allowed amount, as the negotiated rates often exceed the cash price due to administrative costs and contract structures. It is important to verify your specific plan's deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in higher out-of-pocket costs than paying cash directly.

If you choose to pay out-of-pocket, ask the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the bill by 20% to 50% for upfront payment. Since the facility is an in-network location, the No Surprises Act generally protects you from balance billing for emergency or non-emergency services from out-of-network providers within the hospital, though you should still review your itemized bill carefully. Over 80% of hospital bills contain errors, so do not accept a summary bill as final; instead, request a detailed, line-by-line statement to identify any unbundled codes or services not rendered. If you receive a bill that seems inconsistent with the data, dispute it in writing to the billing supervisor rather than paying immediately or signing away your rights via consent waivers.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Cambridge Street, Kansas City, KS 66160
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals