Blood test, potassium
Facility: Mercy Specialty Hospital Southeast Kansas
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $7
- Cash Discount Price: $55
- vs. Medicare Baseline: 1.47x 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 |
|---|---|---|
| First Health Contracted [320128] | $4 | 84% |
| UnitedHealthcare | $4 - $78 | 84% |
| Medicaid / KanCare | $4 - $7 | 84% |
| Humana | $4 - $5 | 84% |
| Aetna | $4 - $5 | 84% |
| Blue Cross Blue Shield | $4 - $7 | 84% |
| United Medical Resources Contracted [320454] | $4 - $13 | 84% |
| Cherokee Nation Health Serv Contracted [320066] | $5 | 105% |
| Kindful Hospice Contracted [320434] | $5 | 105% |
| Cross Timbers Hospice [20098] | $5 | 105% |
| Tricare | $5 | 105% |
| Elara Caring Aspire Hospice [20433] | $5 | 105% |
| Mercy Mgd Behavioral Health Contracted [320259] | $5 | 105% |
| Provider Partners Health Plans Contracted [320450] | $5 | 105% |
| Kindful Hospice [20434] | $5 | 105% |
| Halo Hcr Inc Hospice [20432] | $5 | 105% |
| Halo Hcr Inc Hospice Contracted [320432] | $5 | 105% |
| Dept Of Veteran Affairs Contracted [320106] | $5 | 105% |
| Pace Of The Ozarks Contracted [320518] | $5 | 105% |
| Medical Associates Health Contracted [320444] | $5 | 105% |
| Globalhealth Contracted [320145] | $5 | 105% |
| Medicare (plans) | $5 | 105% |
| Medica Contracted [320239] | $5 | 105% |
| Mercy Hospice Okc [20252] | $5 | 105% |
| Cigna | $5 - $27 | 105% |
| Qual Choice Contracted [320325] | $5 | 105% |
| Centivo Contracted [320505] | $8 | 168% |
| Providrs Care Network Contracted [320484] | $9 | 189% |
| Point C Contracted [320238] | $13 - $63 | 273% |
| Healthscope Contracted [320182] | $13 - $63 | 273% |
| Insurance System Inc Contracted [320465] | $13 | 273% |
| Health Systems Inc Contracted [320174] | $13 | 273% |
| Benefit Management Contracted [320052] | $13 | 273% |
| Mercy Benefit Admin Contracted [320251] | $28 - $59 | 588% |
| Show-Me Health Administrators Contracted [320483] | $28 | 588% |
| Yuzu Health Contracted [320521] | $59 | 1239% |
| Imagine 360 Contracted [320494] | $59 | 1239% |
| Edison Health Solutions Contracted [320502] | $59 | 1239% |
| Aither Health Contracted [320449] | $59 | 1239% |
| Reflect Health Contracted [320492] | $59 | 1239% |
| Ebms Contracted [320493] | $59 | 1239% |
| Auxiant Contracted [320462] | $59 - $63 | 1239% |
| American Healthcare Alliance Contracted [320020] | $59 | 1239% |
| Preferred Health Plan Contracted [320522] | $63 | 1324% |
| Federal Medical Center Contracted [320127] | $63 | 1324% |
| Healthlink Contracted [320179] | $63 | 1324% |
| Compcare Of The Ozarks Contracted [320437] | $66 | 1387% |
| Workers Comp [20426] | $67 | 1408% |
| Private Health Care Systems Contracted [320320] | $78 | 1639% |
| Multiplan [20270] | $80 | 1681% |
| Multiplan Contracted [320270] | $80 | 1681% |
Consumer Guidance & Cost Commentary
For the blood test, potassium procedure (CPT 84132), Mercy Specialty Hospital Southeast Kansas lists a cash price of $55.00, which is lower than the facility's gross charge of $84.00. While the data does not provide a specific county or state average for this procedure, patients should note that cash-pay rates can sometimes be more cost-effective than insurance negotiated rates, particularly for those with high-deductible plans where the insurer's allowed amount might exceed the cash price. To secure the lowest possible cost, individuals are encouraged to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill.
The facility's cash rate of $55.00 is significantly lower than the median negotiated rate of $7.00 reported across payers, though this comparison highlights that commercial insurance contracts often include administrative overhead that inflates the baseline price. Medicare serves as a reliable benchmark for fair pricing, with the Medicare amount for this code set at $4.76; commercial rates are typically marked up well above this federal baseline. Because over 80% of hospital bills contain errors, patients should request a detailed, itemized statement before paying to ensure no unbundled codes or services not rendered are included, and they should be aware that the No Surprises Act protects them from balance billing for out-of-network services at in-network facilities.