Blood test, potassium
Facility: Wamego Health Center
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $4
- Cash Discount Price: $51
- vs. Medicare Baseline: 0.84x 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 |
|---|---|---|
| UnitedHealthcare | $4 | 84% |
| Medicaid / KanCare | $4 | 84% |
| Aetna | $4 | 84% |
| Providrs Care | $5 | 105% |
| Blue Cross Blue Shield | $108 - $114 | 2269% |
Consumer Guidance & Cost Commentary
For the blood test for potassium (CPT 84132) at Wamego Health Center in Wamego, KS, the facility's cash median price is $51.00, which is significantly lower than the state average for this service. While the facility's negotiated rates with payers like UnitedHealthcare and Aetna range between $4.00 and $4.76, these amounts are surprisingly low compared to the gross charge of $127.00, reflecting strong contractual agreements. However, for patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price of $51.00 upfront could result in immediate savings, as the insurance negotiated rate may exceed the cash price once deductibles are applied. It is important to verify your specific plan's allowed amount before scheduling, as some in-network contracts may still result in higher out-of-pocket costs than the direct cash rate.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, unexpected charges can still occur if ancillary services are billed separately. To avoid potential errors or double-billing, consumers should request a full itemized bill before paying, ensuring that all services rendered are clearly listed with specific CPT codes rather than broad category summaries. Additionally, since the facility offers a prompt-pay discount for upfront payments, patients should explicitly ask the billing department about self-pay or prompt-pay rates prior to check-in to ensure they are not automatically enrolled in a standard insurance billing cycle that could void any cash discounts.