Blood test, potassium
Facility: Minneola District Hospital
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $17
- Cash Discount Price: $13
- vs. Medicare Baseline: 3.57x 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 357% of the Medicare baseline (a markup of 257%). 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 | 210% |
| UnitedHealthcare | $13 - $19 | 273% |
| Humana | $13 | 273% |
| Va Community Care Program-All Plans | $13 | 273% |
| Providrs Care Network-All Plans | $16 | 336% |
| Corporate Plan Management-All Plans | $16 | 336% |
| Preferred Health Care (Coventry)-All Other Plans | $17 | 357% |
| Triwest-All Plans | $17 | 357% |
| Aetna | $18 - $19 | 378% |
| Health Partners Of Kansas-All Plans | $18 | 378% |
| Phc (Coventry) Leased Network | $18 | 378% |
| Medicaid / KanCare | $19 | 399% |
Consumer Guidance & Cost Commentary
For this blood test for potassium at Minneola District Hospital, the cash price is $13.00, which is lower than the facility's negotiated rate of $17.00 and the Medicare benchmark of $4.76. While many insurance plans negotiate rates between $10 and $19, paying cash directly can sometimes be more cost-effective for patients with high-deductible plans, as the cash price avoids the administrative markup often found in commercial contracts. Because this facility is a Critical Access Hospital in Kansas, patients should verify if their specific plan falls within the 12 payers listed, noting that some plans like Blue Cross Blue Shield have a single plan at the lowest negotiated rate of $10, while others like Aetna range from $18 to $19.
To ensure you are not overcharged, it is important to distinguish between the hospital's gross charge of $19.00 and the actual amounts billed to patients. Commercial insurance rates are often inflated by administrative costs and contract dynamics, making the cash price a useful benchmark for fair value. If you receive a bill that exceeds the cash rate or the Medicare amount, you may be subject to balance billing if you are out-of-network, though the No Surprises Act protects you from such surprise bills for emergency care and non-emergency services at in-network facilities. Always request a full itemized bill before paying, as summary invoices can hide unbundled charges or services not rendered, and ask the hospital about prompt-pay discounts that could further reduce your out-of-pocket costs.