CMS Price Transparency Data

Blood test, potassium

Facility: Rockcastle County Hospital, Inc.

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $44
  • Cash Discount Price: $71
  • vs. Medicare Baseline: 9.24x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Rockcastle County Hospital, Inc. is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 9.24x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$71

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $71 (1492%)
Insurance Median: $44 (924%)
Cash: $71 (1492% of Medicare)
Ins. Median: $44 (924% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 924% of the Medicare baseline (a markup of 824%). 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.

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
Blue Cross Blue Shield $4 - $64 84%
Tricare $4 84%
Caresource Mcr Adv-All Other Plans $5 105%
Humana $5 105%
Molina Marketplace - All Other Plans $5 105%
Molina Mcr Adv $5 105%
Signature Mcr Adv-All Plans $5 105%
Wellcare Mcr Adv-All Other Plans $5 105%
Passport Hp Hmo - All Plans $25 525%
Multiplan-All Plans $79 1660%
Prime Health Services-All Plans $79 1660%
Integrated Hp-All Plans $83 1744%
Corvel - All Plans $84 1765%
Center Care-All Plans $88 1849%
Cigna $90 1891%
Caresource Mcaid $93 1954%
Coventry Mcaid-All Plans $93 1954%
Medicaid / KanCare $93 1954%
Molina Mcaid $93 1954%
UnitedHealthcare $93 1954%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals