CMS Price Transparency Data

Blood test, potassium

Facility: Boston Medical Center-Brighton

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Boston Medical Center-Brighton is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 736 Cambridge Street, Nevins Building, Brighton, MA.
Cash / Self-Pay
$9

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: $9 (189%)
Insurance Median: $5 (105%)
Cash: $9 (189% 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%
Tufts Together Aco [1122] $4 84%
Tufts Together Mco [1125] $4 84%
Wellsense Alli Aco [1118] $4 84%
Wellsense Essential Mco [1101] $4 84%
Aetna $5 - $14 105%
Blue Cross Blue Shield $5 - $11 105%
Cca [1215] $5 105%
Cigna $5 - $14 105%
Eternalhealth [1227] $5 105%
Humana $5 105%
Medicare (plans) $5 105%
Neighborhood Pace [1206] $5 105%
Senior Whole Health [1210] $5 105%
Ubh Hphc [8016] $5 105%
United Community Plan [1202] $5 105%
UnitedHealthcare $5 105%
Veterans Admin [9003] $5 105%
Zzzcca Onecare [1216] $5 105%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010] $5 105%
Fallon [8008] $6 126%
Unicare [8004] $8 168%
Wellpoint [2034] $8 168%
Tufts [8002] $13 - $14 273%
Meritain Health [1023] $14 294%
Mass General Brigham Health Plan Commercial [8009] $15 315%
Mass General Brigham Health Plan Prime [7003] $15 315%
Harvard Pilgrim Health Care [8001] $17 357%
Hsn Bad Debt [4003] $475 9979%
Hsn Confidential [4007] $475 9979%
Hsn Dental [4006] $475 9979%
Hsn Partial [4002] $475 9979%
Hsn [4001] $475 9979%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 736 Cambridge Street, Nevins Building, Brighton, MA 02135
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals