CMS Price Transparency Data

Blood test, potassium

Facility: Greeley County Health Services

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $4
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Greeley County Health Services is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 0.84x the Medicare baseline. Located in 506 3Rd Street, Tribune, KS.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.76 (100%)
Cash / Self-Pay: $25 (525%)
Insurance Median: $4 (84%)
Cash: $25 (525% of Medicare)
Ins. Median: $4 (84% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $4 84%
Aetna $4 84%

Consumer Guidance & Cost Commentary

For this blood potassium test at Greeley County Health Services, the cash price of $25.00 is significantly lower than the facility's gross charge of $35.00 and the Medicare benchmark of $4.76. While the cash rate is higher than the Medicare amount, it is notably lower than the median negotiated rate of $4.00 reported for this service, suggesting that paying out-of-pocket directly may result in a lower total cost for patients with high-deductible plans. Because commercial insurance contracts often include administrative overheads that inflate allowed amounts, the cash price here represents a more direct, transparent cost without the markup associated with insurance billing cycles.

Patients should verify their specific plan details before scheduling, as the facility's negotiated rates for Medicaid/KanCare and Aetna are set at $4.00, which differs from the cash price. If you have a high-deductible plan, it is advisable to ask the hospital about "self-pay" or "prompt-pay" discounts before check-in, as these upfront incentives can further reduce the final bill by bypassing claims processing fees. Additionally, if you receive a bill from an out-of-network provider or encounter unexpected charges, you have the right to request an itemized audit to identify errors or double-billing, and you may be protected from balance billing for emergency services under the No Surprises Act.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 3Rd Street, Tribune, KS 67879
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals