Blood test, potassium
Facility: Logan County Hospital
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $41
- Cash Discount Price: $12
- vs. Medicare Baseline: 8.61x 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 861% of the Medicare baseline (a markup of 761%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $10 | 210% |
| Humana | $25 | 525% |
| Health Partners - All Plans | $57 | 1197% |
| Medicaid / KanCare | $60 | 1261% |
Consumer Guidance & Cost Commentary
For this blood test for potassium at Logan County Hospital in Oakley, KS, the facility's cash price of $12.00 is significantly lower than the state average for this service. While the hospital's negotiated rates with major payers like Blue Cross Blue Shield and Humana are set at $10 and $25 respectively, these amounts are still higher than the cash price. This demonstrates that for patients with high-deductible plans or those without insurance, paying the cash price directly can be the most cost-effective option, as it bypasses the administrative layers that often inflate commercial negotiated rates.
The facility's Medicare benchmark of $4.76 serves as a baseline for fair pricing, and the cash rate of $12.00 remains well below the gross charge of $60.00. Patients should be aware that while the No Surprises Act protects against balance billing for emergency care at in-network facilities, it is still advisable to request a self-pay or prompt-pay discount before scheduling to ensure you are not charged the full negotiated amount. If you receive a bill that exceeds the cash price, you should request an itemized audit to verify that no unbundled codes or services not rendered have been included, as over 80% of hospital bills contain errors that can be corrected.