Blood test, potassium
Facility: Great Plains Of Sabetha
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $19
- Cash Discount Price: $20
- vs. Medicare Baseline: 3.99x 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 399% of the Medicare baseline (a markup of 299%). 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 |
|---|---|---|
| Aetna | $10 - $20 | 210% |
| Celtic Mcr Adv | $10 | 210% |
| Celtic Comm Exchange-All Other Plans | $13 | 273% |
| Great West Healthcare-All Plans | $17 | 357% |
| Multiplan-Phcs-All Plans | $19 | 399% |
| Federated Mutual Ins-All Plans | $19 | 399% |
| UnitedHealthcare | $19 - $20 | 399% |
| Humana | $19 | 399% |
| Cigna | $19 | 399% |
| Century/Wppa/Providers-All Plans | $19 | 399% |
| Medicaid / KanCare | $20 | 420% |
| Blue Cross Blue Shield | $20 | 420% |
Consumer Guidance & Cost Commentary
For the CPT code 84132 (Blood test, potassium) at Great Plains Of Sabetha, the cash price is $20.00, which matches the facility's gross charge and the median negotiated rate of $19.00. This service is significantly more affordable than the Medicare benchmark of $4.76, reflecting the standard commercial markup where negotiated rates often range from 200% to 300% of the federal baseline. While the facility is a Critical Access Hospital in Sabetha, KS, the data provided does not include specific Kansas or county average figures for comparison; however, the cash price remains a strong reference point for patients with high-deductible plans, as paying out-of-pocket can sometimes be cheaper than the insurance negotiated rate if administrative overhead inflates the allowed amount.
Patients should verify whether their specific insurance plan has a deductible that has been met before relying on the $19.00 negotiated rate, as uncovered costs could exceed the cash price. Additionally, because this is a voluntary non-profit facility, you may be eligible for prompt-pay discounts if you choose to settle the bill upfront, which can reduce the total amount owed by bypassing the administrative costs associated with insurance claims processing. It is important to request a full itemized bill before payment to ensure no unbundled codes or services not rendered are included, and to explicitly ask about self-pay or cash discount options prior to scheduling your appointment to avoid unexpected balance billing.