Blood test, potassium
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $13
- Cash Discount Price: $16
- vs. Medicare Baseline: 2.73x 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 273% of the Medicare baseline (a markup of 173%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $4 | 84% |
| UnitedHealthcare | $5 - $18 | 105% |
| Berkley Net-All Plans | $7 | 147% |
| Meritain Health-All Plans | $8 | 168% |
| Aetna | $8 - $12 | 168% |
| Trustmark Health Benefits-All Plans | $8 | 168% |
| Ambetter / Centene | $9 | 189% |
| Medi-Share-All Plans | $10 | 210% |
| Axa Equitable - All Plans | $10 | 210% |
| Pinnacol-All Plans | $10 | 210% |
| Presbyterian-All Plans | $11 | 231% |
| The Kempton Group Admin-All Plans | $12 | 252% |
| Kasb Work Comp - All Plans | $12 | 252% |
| Sisco-All Plans | $13 | 273% |
| Gpha Employee Benefit Plan | $13 | 273% |
| Auxiant - All Plans | $13 | 273% |
| Emc-All Plans | $13 | 273% |
| Providers Care Network- All Plans | $13 | 273% |
| Wppa- All Plans | $13 | 273% |
| Gpha(Wppa)-All Other Plans | $13 | 273% |
| One Call Physician-All Plans | $14 | 294% |
| First Health -All Plans | $14 | 294% |
| Triangle-All Plans | $14 | 294% |
| Employee Benefit-All Plans | $14 | 294% |
| Christian Hospital Aid - All Plans | $14 | 294% |
| Tricare | $14 | 294% |
| Blue Cross Blue Shield | $14 | 294% |
| Regional Care(Wppa)-All Plans | $14 | 294% |
| Humana | $15 | 315% |
| Coresource-All Plans | $16 | 336% |
| Deseret Mutual(Uhis)-All Plans | $16 | 336% |
| Cigna | $16 | 336% |
| Luminare Health- All Plans | $16 | 336% |
| Reserve National-All Plans | $17 | 357% |
| Wps Vapc-All Plans | $17 | 357% |
| Vaccn-All Plans | $17 | 357% |
| Hma Llc-All Plans | $17 | 357% |
| Medicaid / KanCare | $18 | 378% |
Consumer Guidance & Cost Commentary
For this blood test for potassium at Satanta District Hospital, the cash price is $16.00, which is $1.00 higher than the facility's negotiated rate of $13.00. This cash price is also $1.00 higher than the state of Kansas average for this service. While commercial insurance plans negotiate rates that typically range from $4.00 to $18.00 depending on the specific carrier, the cash price may actually be the most affordable option for patients with high-deductible plans or those without insurance, as it avoids the administrative overhead often baked into negotiated rates. Patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as paying in full upfront can sometimes result in a fee reduction that lowers the final cost below the listed cash price.
The facility's Medicare benchmark rate for this procedure is $4.76, meaning the cash price of $16.00 represents a significant markup compared to the federal government's cost-based reimbursement. This disparity highlights the importance of comparing rates against the Medicare amount rather than the hospital's full chargemaster list, which is often inflated to make discounts appear larger than they are. If you have insurance, be aware that while the facility is in-network for many carriers, the allowed amount varies widely, and you may still face balance billing if an out-of-network ancillary service is required, though the No Surprises Act protects you from such unexpected bills for emergency and non-emergency care at in-network facilities. To ensure accuracy, always request a detailed, itemized bill before paying, as summary invoices can obscure errors or unbundled charges that should not be billed separately.