Blood test, potassium
Facility: Kansas City Orthopaedic Institute
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $11
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.31x 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 231% of the Medicare baseline (a markup of 131%). 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 | $5 - $11 | 105% |
| UnitedHealthcare | $5 - $13 | 105% |
| Aetna | $5 | 105% |
| Blue Cross Blue Shield | $9 - $15 | 189% |
| Medica | $12 - $13 | 252% |
Consumer Guidance & Cost Commentary
For the blood test for potassium (CPT code 84132) at Kansas City Orthopaedic Institute in Leawood, KS, the facility's negotiated rates range from $5 to $15 across five major payers, with a median negotiated payment of $11.00. This facility is owned by physicians and operates as an acute care hospital. While the data does not provide specific cash or median paid amounts for this service, patients should be aware that cash-pay options can sometimes be more affordable than insurance negotiated rates, particularly for those with high-deductible plans. It is always advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts before scheduling, as these upfront fee reductions can significantly lower out-of-pocket costs.
When evaluating the cost of this service, it is important to compare rates against objective benchmarks rather than the hospital's full chargemaster list. The Medicare amount for this procedure is $4.76, which serves as a scientifically validated baseline for the true cost of delivery. Commercial negotiated rates often exceed this baseline due to administrative structures and contract dynamics, and patients should verify their specific plan's allowed amount to avoid balance billing surprises. If you receive a bill that appears higher than expected, you have the right to request a detailed, itemized audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be corrected through formal written disputes.