Blood test, potassium
Facility: Lmh
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $5
- Cash Discount Price: $30
- 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 |
|---|---|---|
| UnitedHealthcare | $4 - $46 | 84% |
| Blue Cross Blue Shield | $4 - $78 | 84% |
| Humana | $5 | 105% |
| Allwell | $5 | 105% |
| Aetna | $5 - $100 | 105% |
| Haskell Indian Health Services | $5 | 105% |
| Cigna | $5 - $80 | 105% |
| Medicare (plans) | $5 | 105% |
| Ambetter / Centene | $7 | 147% |
| Non Contracted | $96 | 2017% |
| First Health | $112 | 2353% |
Consumer Guidance & Cost Commentary
For this blood test, the cash price of $30.00 is significantly lower than the facility's negotiated rates, which range from $4 to $112 depending on the insurance plan. While the facility's cash rate is competitive, it is important to note that commercial insurance often pays negotiated rates that exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket. The facility, Lmh in Lawrence, KS, is a government-owned acute care hospital, and while the cash rate is well below the facility's gross charge of $120.00, patients should verify their specific plan's allowed amount before scheduling.
To ensure you are not overcharged, always request an itemized bill before paying, as summary bills can hide errors or unbundled charges. If you receive a balance bill from an out-of-network provider, remember that the No Surprises Act protects you from paying the difference between the provider's rate and your insurance's allowed amount for emergency care and non-emergency services at in-network facilities. Additionally, ask the billing department about prompt-pay discounts, which can reduce your cash bill by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance claims processing.