Blood test, potassium
Facility: Overland Park Reg Med Ctr
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $71
- Cash Discount Price: $399
- vs. Medicare Baseline: 14.92x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1492% of the Medicare baseline (a markup of 1392%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Cigna | $2 - $5 | 42% |
| Aetna | $4 - $213 | 84% |
| Home State Health Plan | $4 | 84% |
| Healthyblue | $4 | 84% |
| Medicaid / KanCare | $4 | 84% |
| United | $4 - $188 | 84% |
| Amerigroup | $4 | 84% |
| Unicare | $4 | 84% |
| Coventry | $5 - $168 | 105% |
| Blue Cross Blue Shield | $5 - $180 | 105% |
| Humana | $5 - $11 | 105% |
| Celtic | $5 | 105% |
| Triwest Health Alliance | $5 | 105% |
| Pyramid Life | $5 | 105% |
| Wellcare | $5 | 105% |
| Devoted Health | $5 | 105% |
| Oscar | $7 | 147% |
| Multiplan | $8 - $309 | 168% |
| Oha Network | $10 - $209 | 210% |
| Corvel Corporation | $10 - $272 | 210% |
| Ambetter / Centene | $71 - $78 | 1492% |
| Nhc Advantage | $72 - $79 | 1513% |
| Wppa Providrs Care Network | $76 - $84 | 1597% |
| Universal Healthcare | $133 - $146 | 2794% |
| Coventry Kc Mo | $156 - $171 | 3277% |
| College Park Family Care Center | $164 - $180 | 3445% |
| Cco, Inc. | $285 - $314 | 5987% |
| Focus Healthcare Mgmt, Inc | $285 - $314 | 5987% |
Consumer Guidance & Cost Commentary
For the blood test, potassium procedure (CPT 84132), the Overland Park Reg Med Ctr lists a cash price of $399.00, which matches the facility's cash median. This rate is significantly higher than the national Medicare benchmark of $4.76, reflecting the standard markup for commercial services. While the facility offers a negotiated rate of $71.00 for in-network patients, this amount is still above the Medicare baseline, illustrating that commercial contracts often exceed the federal cost basis. Patients with high-deductible plans should consider paying the cash price directly, as the $399.00 rate may be lower than the total out-of-pocket cost if their insurance negotiated rate exceeds the cash amount or if they have not yet met their deductible.
To minimize unexpected costs, patients should proactively ask the facility about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is also important to request a full itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. If a patient receives a balance bill from an out-of-network provider, they should not pay immediately out of fear of credit damage; instead, they should dispute the bill with their insurer and request a No Surprises Act audit to ensure compliance with federal protections against surprise billing.