Blood test, potassium
Facility: Greenwood County Hospital
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $41
- Cash Discount Price: $38
- 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 |
|---|---|---|
| UnitedHealthcare | $2 - $40 | 42% |
| Blue Cross Blue Shield | $9 - $10 | 189% |
| Triwest - All Plans | $17 | 357% |
| Tricare | $20 | 420% |
| Choicecare Mcr Adv - All Plans | $20 | 420% |
| Integrated Health Plan - All Plans | $36 | 756% |
| Beech Street - All Plans | $41 | 861% |
| First Health - All Other Plans | $41 | 861% |
| First Health Ccn Network | $41 | 861% |
| Preferred Hs (Coventry) - All Plans | $43 | 903% |
| Principal Health Care Inc - All Plans | $46 | 966% |
| Medicaid / KanCare | $48 | 1008% |
| Amerigroup Mcaid-All Plans | $48 | 1008% |
| Providrs Care/Wppa - All Plans | $72 | 1513% |
Consumer Guidance & Cost Commentary
For this potassium blood test (CPT 84132) at Greenwood County Hospital in Eureka, Kansas, the facility's cash price is $38.00, which is lower than the state average of $48.00. While many commercial payers negotiate rates ranging from $9 to $72, the cash price remains the lowest option available. Patients with high-deductible plans may find paying the $38.00 cash price more cost-effective than using insurance, as the negotiated rates for some plans exceed the cash amount. To maximize savings, you should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill if you settle the account upfront.
It is important to note that while the facility is in-network for many carriers, the No Surprises Act protects you from balance billing for emergency services and non-emergency care at in-network facilities. If you receive an itemized bill that appears higher than the cash price or your expected insurance payment, request a full line-by-line audit to identify any errors, unbundled codes, or services not rendered. Since over 80% of hospital bills contain mistakes, obtaining a detailed statement is your best tool to dispute charges and ensure you are only paying for what was actually provided.