Blood test, potassium
Facility: Kiowa County Memorial Hospital
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $36
- Cash Discount Price: $34
- vs. Medicare Baseline: 7.56x 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 756% of the Medicare baseline (a markup of 656%). 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 - $36 | 210% |
| UnitedHealthcare | $32 - $40 | 672% |
| Health Partners Of Ks-All Plans | $35 | 735% |
| Medica Prime Mcare Cost-All Plans | $36 | 756% |
| Celtic Comml Exchange-All Other Plans | $36 | 756% |
| Humana | $36 | 756% |
| Aetna | $36 | 756% |
| Medicaid / KanCare | $40 | 840% |
| Providrs Care/Wppa-All Plans | $60 | 1261% |
Consumer Guidance & Cost Commentary
For the blood test for potassium (CPT 84132) at Kiowa County Memorial Hospital in Greensburg, KS, the facility's cash median rate is $34.00, which is lower than the negotiated rates paid by most insurance plans. While the hospital's cash price is $34.00, the median negotiated rate across payers is $36.00, meaning patients with high-deductible plans might find paying cash directly more cost-effective if their insurance allows. It is important to note that the facility is a Critical Access Hospital with government-local ownership, and while the cash rate is competitive, the negotiated rates for insurers range from $10 to $60 depending on the specific plan. Patients should verify their deductible status before scheduling, as paying the full negotiated amount may not be covered until that threshold is met.
When evaluating the cost against federal benchmarks, the Medicare amount for this service is $4.76, which serves as the objective baseline for pricing. The facility's cash rate of $34.00 represents a significant markup over the Medicare benchmark, illustrating the difference between the government's cost-based reimbursement and commercial pricing structures. Although the data does not provide specific county or state average comparisons for this exact procedure, the wide variance in payer rates—from as low as $10 for some Blue Cross Blue Shield plans to $60 for Providrs Care/Wppa-All Plans—highlights the importance of checking individual plan details. To potentially lower the final bill, patients should inquire about "self-pay" or "prompt-pay" discounts before check-in, as these upfront payment incentives can bypass administrative fees and reduce the total cost.