Blood test, potassium
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $30
- Cash Discount Price: $10
- vs. Medicare Baseline: 6.30x 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 630% of the Medicare baseline (a markup of 530%). 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 |
|---|---|---|
| Wppa [503200056] | $9 - $23 | 189% |
| Meritain Health [503200039] | $9 - $33 | 189% |
| Alt Wppa [5032000964] | $9 - $23 | 189% |
| Alt Meritain Health [503999911] | $13 - $33 | 273% |
| Aha-Healthcare Preferred [503200050] | $13 - $33 | 273% |
| Cigna | $13 - $44 | 273% |
| National Assn Letter Carriers [503200019] | $13 - $33 | 273% |
| Allied National [503999937] | $13 - $33 | 273% |
| Php [503200005] | $13 - $33 | 273% |
| First Health [5032000110] | $13 - $33 | 273% |
| Aetna | $13 - $33 | 273% |
| Correct Care Solutions [50311253] | $15 - $38 | 315% |
| Workers Comp [503999901] | $18 - $47 | 378% |
| Usa Managed Care [503999030] | $19 - $50 | 399% |
Consumer Guidance & Cost Commentary
For the blood test, potassium procedure (CPT 84132) at the University Of Ks Hlth System Great Bend Campus, the facility's cash median price is $10.00, which is significantly lower than the state average of $30.00. While many commercial payers have negotiated rates ranging from $9 to $50 depending on the plan, patients with high-deductible plans may find paying cash directly more cost-effective if the insurance negotiated rate exceeds the cash price. To maximize savings, it is recommended to explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing administrative claim processing fees.
When using insurance, the facility's negotiated rates vary widely across 14 different payers, with some plans covering as little as $9 and others up to $50. It is important to note that these negotiated rates often include administrative costs for claims processing and utilization reviews, which can inflate the baseline price compared to the Medicare benchmark of $4.76. If you receive a bill that appears to be a balance bill for services rendered at this in-network facility, you should verify the itemized charges against your plan's allowed amount and consider requesting a formal audit if you believe services were unbundled or not rendered, as federal protections generally prevent surprise billing for out-of-network providers at in-network hospitals.