Blood test, potassium
Facility: Wesley Medical Center
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $7
- Cash Discount Price: $271
- vs. Medicare Baseline: 1.47x 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 |
|---|---|---|
| United | $2 - $237 | 42% |
| Preferred Health Choices | $3 - $100 | 63% |
| Medical Associates Health Plan | $3 - $100 | 63% |
| Health Partners Of Kansas | $3 - $264 | 63% |
| Ambetter / Centene | $3 - $95 | 63% |
| Wppa | $3 - $92 | 63% |
| UnitedHealthcare | $4 | 84% |
| Medicaid / KanCare | $4 | 84% |
| Aetna | $4 - $188 | 84% |
| Amerigroup | $4 | 84% |
| Humana | $5 | 105% |
| Devoted Health | $5 | 105% |
| Coventry Health Care | $5 | 105% |
| Spirit Aerosystems | $5 - $169 | 105% |
| Triwest Health Alliance | $5 | 105% |
| First Health | $7 - $243 | 147% |
| Correct Care Solutions | $7 | 147% |
| Triwest Healthcare Alliance | $10 - $343 | 210% |
| Multiplan | $10 - $474 | 210% |
| Blue Cross Blue Shield | $11 | 231% |
| Usa Managed Care | $13 - $448 | 273% |
Consumer Guidance & Cost Commentary
For the blood test, potassium procedure (CPT 84132) at Wesley Medical Center in Wichita, KS, the cash price is $271.00, which matches the facility's cash median. This rate is significantly higher than the Medicare benchmark of $4.76, reflecting a markup of 1.5 times the federal rate. While the facility lists a median negotiated rate of $7.00, this figure represents the average amount commercial payers agree to cover, not the actual out-of-pocket cost for patients. It is important to note that for individuals with high-deductible plans, paying the full cash price of $271.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash price due to administrative overhead and contract structures.
Patients should proactively inquire about "self-pay" or "prompt-pay" discounts before scheduling any appointments, as these upfront payment incentives can reduce the final bill by 20% to 50%. Since the facility is an acute care hospital with proprietary ownership, billing systems may default to insurance processing if a card is on file, so requesting a waiver of insurance submission is crucial to securing the cash rate. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should always request a detailed, itemized bill to verify that no unbundled codes or services not rendered have been charged.