Blood test, potassium
Facility: Menorah Medical Center
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $10
- Cash Discount Price: $379
- vs. Medicare Baseline: 2.10x 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 210% of the Medicare baseline (a markup of 110%). 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 - $303 | 42% |
| Aetna | $4 - $193 | 84% |
| Amerigroup | $4 | 84% |
| Home State Health Plan | $4 | 84% |
| Healthyblue | $4 | 84% |
| United | $4 - $171 | 84% |
| Medicaid / KanCare | $4 | 84% |
| Unicare | $4 | 84% |
| Humana | $5 - $11 | 105% |
| Triwest Health Alliance | $5 | 105% |
| Coventry | $5 - $152 | 105% |
| Blue Cross Blue Shield | $5 - $171 | 105% |
| Wellcare | $5 | 105% |
| Celtic | $5 | 105% |
| Devoted Health | $5 | 105% |
| Pyramid Life | $5 | 105% |
| Oscar | $7 | 147% |
| Multiplan | $8 - $281 | 168% |
| Oha Network | $10 - $190 | 210% |
| Corvel Corporation | $10 - $247 | 210% |
| Ambetter / Centene | $71 | 1492% |
| Nhc Advantage | $72 | 1513% |
| Wppa Providrs Care Network | $76 | 1597% |
| Universal Healthcare | $133 | 2794% |
| Coventry Kc Mo | $155 | 3256% |
| College Park Family Care Center | $163 | 3424% |
| Focus Healthcare Mgmt, Inc | $284 | 5966% |
| Cco, Inc. | $284 | 5966% |
Consumer Guidance & Cost Commentary
For this blood test, the cash price at Menorah Medical Center is $379.00, which matches the facility's cash median. While the facility's negotiated rates vary significantly by insurer—ranging from a low of $2 with Cigna to a high of $284 with Focus Healthcare Mgmt, Inc.—the cash price often represents the most transparent baseline for patients. It is important to note that cash payments can sometimes be cheaper than insurance reimbursement, particularly for those with high-deductible plans where the insurer's allowed amount may exceed the cash price. Additionally, patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance claims processing.
When evaluating this rate, it is crucial to compare it against objective benchmarks rather than the hospital's inflated chargemaster list. The Medicare amount for this service is $4.76, and the facility's cash rate is approximately 80 times higher than this federal baseline, indicating a significant markup. While the data does not provide a specific county or state average for comparison, understanding the Medicare rate helps reveal the true cost structure of the procedure. If you receive a bill from an out-of-network provider or encounter unexpected charges, you may be subject to balance billing, though the No Surprises Act protects you from such bills for emergency care and non-emergency services at in-network facilities. Always request a detailed, itemized bill to ensure no errors or unbundled charges are included before making any payment.