Blood test, potassium
Facility: Neosho Memorial Regional Medical Center
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $29
- Cash Discount Price: $68
- vs. Medicare Baseline: 6.09x 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 609% of the Medicare baseline (a markup of 509%). 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 |
|---|---|---|
| Medicaid / KanCare | $4 | 84% |
| Blue Cross Blue Shield | $11 - $29 | 231% |
| Tricare | $28 | 588% |
| Medicare (plans) | $29 | 609% |
| Aetna | $29 | 609% |
| Medadv_Allwell | $29 | 609% |
| Medadv_Uhc | $29 | 609% |
| Va_Ccn | $29 | 609% |
| Humana | $29 | 609% |
| Ambetter / Centene | $30 | 630% |
| United | $75 | 1576% |
| Wppa_Providrscare | $75 | 1576% |
| Cigna | $86 | 1807% |
| Coventry | $86 | 1807% |
| Hpk | $86 | 1807% |
Consumer Guidance & Cost Commentary
For this blood test for potassium at Neosho Memorial Regional Medical Center in Chanute, KS, the facility's cash median price is $68.00, which is lower than the state average of $70.00. While the facility is a Critical Access Hospital owned by the local government, patients should note that cash payments can sometimes be more cost-effective than using insurance, particularly if your plan has a high deductible or if the insurance negotiated rate exceeds the cash price. Although the facility lists 15 different payers, including Medicaid/KanCare, Blue Cross Blue Shield, and United, the actual negotiated rates vary significantly; for instance, United and Coventry have a fixed negotiated rate of $86, while Medicaid/KanCare has a much lower range of $4 to $4. Because the facility is in-network for these plans, the No Surprises Act generally protects you from balance billing for emergency or non-emergency services, but it is still wise to verify your specific plan's allowed amount before scheduling to avoid unexpected costs.
To ensure you are receiving the best possible rate, we recommend requesting a prompt-pay discount if you choose to pay out-of-pocket, as hospitals often offer 20% to 50% reductions for upfront payments to bypass administrative claim processing fees. Additionally, if you do receive a bill, always demand a full itemized CPT-coded statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected through a formal written audit dispute. Since the facility's Medicare benchmark amount is $4.76, which is significantly lower than both the cash and negotiated rates, this highlights