Blood test, potassium
Facility: Wilson Medical Center
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $26
- Cash Discount Price: $24
- vs. Medicare Baseline: 5.46x 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 546% of the Medicare baseline (a markup of 446%). 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 - $32 | 210% |
| UnitedHealthcare | $17 - $30 | 357% |
| Humana | $17 | 357% |
| Tricare | $17 | 357% |
| Ambetter / Centene | $17 - $32 | 357% |
| Aetna | $17 - $32 | 357% |
| Cigna | $26 | 546% |
| Mulitplan-All Plans | $29 | 609% |
| Health Partners-All Plans | $29 | 609% |
Consumer Guidance & Cost Commentary
For this blood test at Wilson Medical Center in Neodesha, KS, the facility's cash median price of $24.00 is notably lower than the state average for this service, which sits at $32.00. While the gross chargemaster lists the procedure at $32.00, patients with high-deductible plans or those without insurance may find the cash price more affordable than their insurance negotiated rates, which range from $17.00 to $32.00 depending on the carrier. It is important to note that while commercial negotiated rates often exceed cash prices due to administrative overhead, the cash option here aligns closely with the facility's median paid amount of $19.00, suggesting potential savings for self-pay patients.
To ensure you are not overcharged, always request a full itemized bill before paying, as summary invoices can obscure individual line items and potential errors. If you receive a balance bill for an out-of-network service, remember that the No Surprises Act generally prohibits providers from charging you the difference between their full rate and your insurance allowed amount for emergency care or non-emergency services at in-network facilities. Additionally, ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce your bill by 20% to 50% if paid upfront, bypassing the costly claims processing cycle that inflates insurance rates.