Blood test, potassium
Facility: Goodland Regional Medical Center
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $45
- Cash Discount Price: $45
- vs. Medicare Baseline: 9.45x 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 945% of the Medicare baseline (a markup of 845%). 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% |
| Wppa | $42 - $45 | 882% |
| UnitedHealthcare | $45 | 945% |
Consumer Guidance & Cost Commentary
For the blood test, potassium procedure (CPT 84132) at Goodland Regional Medical Center in Goodland, KS, the cash median price is $45.00, which is $5.00 lower than the facility's gross charge of $50.00. This cash rate is notably higher than the state of Kansas average, suggesting that paying out-of-pocket may not be the most cost-effective option for all patients. While the facility is a Critical Access Hospital owned by the local government, patients should verify their specific insurance status, as commercial negotiated rates for in-network payers like Blue Cross Blue Shield, Wppa, and UnitedHealthcare range from $42.00 to $45.00. In cases where a patient has a high-deductible plan, the cash price of $45.00 could be cheaper than the insurance negotiated rate if the patient has not yet met their deductible, though this depends entirely on individual plan terms.
To ensure you are not overcharged, it is crucial to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. If you receive a surprise bill for out-of-network services at this in-network facility, the No Surprises Act may protect you from balance billing for emergency care and non-emergency services. Additionally, you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance claims processing. Always dispute any unexpected charges in writing to