CMS Price Transparency Data

Blood test, potassium

Facility: Boston Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Boston Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 1 Boston Medical Center Place, Boston, MA.
Cash / Self-Pay
$13

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $13 (273%)
Insurance Median: $5 (105%)
Cash: $13 (273% of Medicare)
Ins. Median: $5 (105% 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.

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
Fallon Healthcre Aco [1121] $4 84%
Hlth New England Aco [1123] $4 84%
Mass General Brigham Health Plan Aco [1120] $4 84%
Mass General Brigham Health Plan Mcd Mnged [1107] $4 84%
Medicaid / KanCare $4 84%
Oxford Health [1007] $4 84%
Oxford Health [2024] $4 84%
Tufts Together Aco [1122] $4 84%
Tufts Together Mco [1125] $4 84%
United [2025] $4 - $14 84%
UnitedHealthcare $4 - $5 84%
Wellsense Alli Aco [1118] $4 84%
Wellsense Essential Mco [1101] $4 84%
Zzzunited [1008] $4 - $14 84%
Aetna $5 - $14 105%
Blue Cross Blue Shield $5 - $9 105%
Cca [1215] $5 105%
Cigna $5 - $13 105%
Corrections [9001] $5 - $6 105%
Eternalhealth [1227] $5 105%
Fallon Sco [1126] $5 105%
Humana $5 105%
Medicare (plans) $5 105%
Neighborhood Pace [1206] $5 105%
Tufts [8002] $5 - $13 105%
Ubh Hphc [8016] $5 105%
Veterans Admin [9003] $5 105%
Wellcare [1240] $5 105%
Wellsense [7001] $5 105%
Zzzcca Onecare [1216] $5 105%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010] $5 105%
Champva [9004] $6 126%
Fallon [8008] $6 126%
Senior Whole Health [1210] $6 126%
Tricare $6 126%
Tufts Conncare/Qhp [8020] $6 - $7 126%
Workers Comp [5002] $6 126%
Zzzbu Employee Work Comp [5004] $6 126%
Zzzcity Of Boston Work Comp [5003] $6 126%
Unicare [8004] $8 168%
Wellpoint [2034] $8 168%
Uphams Corner Esp [1213] $11 231%
Meritain Health [1023] $12 252%
Harvard Pilgrim Health Care [8001] $14 294%
Health Plans Inc [2027] $14 294%
Zzzhealth Plans Inc [1013] $14 294%
Mass General Brigham Health Plan Commercial [8009] $15 315%
Hsn Bad Debt [4003] $513 10777%
Hsn Confidential [4007] $513 10777%
Hsn Dental [4006] $513 10777%
Hsn Partial [4002] $513 10777%
Hsn [4001] $513 10777%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Boston Medical Center Place, Boston, MA 02118
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals