Blood test, potassium
Facility: Hodgeman County Health Center
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $35
- Cash Discount Price: $39
- vs. Medicare Baseline: 7.35x 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 735% of the Medicare baseline (a markup of 635%). 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 | $9 - $10 | 189% |
| Triwest - All Plans | $31 | 651% |
| Medicaid / KanCare | $31 - $49 | 651% |
| UnitedHealthcare | $31 - $47 | 651% |
| Humana | $31 | 651% |
| Aetna | $39 | 819% |
| First Health - All Plans | $44 | 924% |
| Wppa (Provdrscare) - All Plans | $47 | 987% |
| Health Partners - All Plans | $47 | 987% |
Consumer Guidance & Cost Commentary
For the blood test for potassium (CPT 84132) at Hodgeman County Health Center in Jetmore, Kansas, the cash median price is $39.00, which is $1.00 higher than the state average of $38.00. While the facility's negotiated rates with major payers like Blue Cross Blue Shield and Triwest range between $9.00 and $49.00, these amounts are often inflated by administrative overhead and contract structures that can exceed the cash price. Patients with high-deductible plans may find it financially advantageous to pay the cash rate of $39.00 directly, as this avoids the administrative markup inherent in insurance billing cycles. It is important to verify your specific plan's deductible status before relying on insurance, as paying out-of-pocket can sometimes result in a lower total cost than the negotiated fee your insurer would allow.
When comparing this service to the Medicare benchmark, the facility's cash rate of $39.00 is approximately 7.4% higher than the Medicare amount of $4.76, reflecting the standard markup found in commercial pricing. The facility, a Critical Access Hospital owned by the local government, lists a median negotiated rate of $35.00, which is slightly lower than the cash price but may still be subject to balance billing if your insurance does not cover the full amount. To ensure you receive the best possible price, you should explicitly request a "self-pay" or "prompt-pay" discount before scheduling your visit, as these upfront payment incentives can reduce the final bill by 20% to 50%. Always ask for an itemized bill to confirm that no services