CMS Price Transparency Data
Blood test, potassium
Facility: Trinity Health Oakland Hospital
Billing Code: 84132 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84132
- Insurance Median: $25
- Cash Discount Price: $41
- vs. Medicare Baseline: 5.25x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Trinity Health Oakland Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 5.25x the Medicare baseline. Located in 44405 Woodward Ave, Pontiac, MI.
Cash / Self-Pay
$41
Average discount available for prompt cash payment at this facility.
Insurance Median
$25
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: $41 (861%)
Insurance Median: $25 (525%)
Cash: $41 (861% of Medicare)
Ins. Median: $25 (525% 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 525% of the Medicare baseline (a markup of 425%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| U Of M Health Plan | $2 | 42% |
| Blue Cross Blue Shield | $3 - $5 | 63% |
| Medicaid / KanCare | $3 | 63% |
| Aetna | $5 - $29 | 105% |
| Align Senior Care | $5 | 105% |
| Blue Care Network Advantage | $5 | 105% |
| Cca - Zing Health | $5 | 105% |
| Hospice Advantage | $5 | 105% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $5 | 105% |
| Medicare (plans) | $5 | 105% |
| UnitedHealthcare | $5 - $48 | 105% |
| Molina Marketplace | $6 | 126% |
| Geha | $7 - $48 | 147% |
| Health Cost Solutions | $7 | 147% |
| Medical Mutual | $7 | 147% |
| Meritain | $7 | 147% |
| Priority Health | $7 - $8 | 147% |
| Vitalcore | $7 | 147% |
| Wellpath | $7 | 147% |
| Wc Accident Fund | $10 - $19 | 210% |
| Wc Advantage | $10 - $19 | 210% |
| Wc Aig | $10 - $19 | 210% |
| Wc Allied | $10 - $19 | 210% |
| Wc Amerisure | $10 - $19 | 210% |
| Wc Amtrust | $10 - $19 | 210% |
| Wc Asu Risk Mgt | $10 - $19 | 210% |
| Wc Berkley Admin | $10 - $19 | 210% |
| Wc Broadspire | $10 - $19 | 210% |
| Wc Bunch & Associates | $10 - $19 | 210% |
| Wc Ccmsi | $10 - $19 | 210% |
| Wc Emc Insurance Company | $10 - $19 | 210% |
| Wc Esis | $10 - $19 | 210% |
| Wc Fcci | $10 - $19 | 210% |
| Wc Federated | $10 - $19 | 210% |
| Wc Gallagher Bassett | $10 - $19 | 210% |
| Wc Genex Care For Ohio | $10 - $19 | 210% |
| Wc Guard Insurance Company | $10 - $19 | 210% |
| Wc Hartford | $10 - $19 | 210% |
| Wc Liberty Mutual | $10 - $19 | 210% |
| Wc Meijers | $10 - $19 | 210% |
| Wc Michigan | $10 - $19 | 210% |
| Wc Mitchell Frankenmuth | $10 - $19 | 210% |
| Wc Pma | $10 - $19 | 210% |
| Wc Sedgwick | $10 - $19 | 210% |
| Wc Sentry | $10 - $19 | 210% |
| Wc Travelers | $10 - $19 | 210% |
| Wc Tristar | $10 - $19 | 210% |
| Wc Walmart | $10 - $19 | 210% |
| Wc Zurich | $10 - $19 | 210% |
| Employee Benefit Logistic | $11 | 231% |
| Acs Benefit Services | $15 - $28 | 315% |
| Allied Benefit Systems | $15 - $28 | 315% |
| Asr Health Benefits | $15 | 315% |
| Caresource | $15 | 315% |
| Claimchoice Adminstrators | $15 - $28 | 315% |
| Consociate | $15 - $28 | 315% |
| Cypress Benefit Administrators | $15 - $28 | 315% |
| Forest County Potawatomi | $15 - $28 | 315% |
| Hap | $15 - $46 | 315% |
| Health Smart | $15 - $28 | 315% |
| Healthgram | $15 - $28 | 315% |
| Healthscope | $15 - $28 | 315% |
| Secureone Preferred United Plans | $15 - $28 | 315% |
| Sisco Benefits | $15 - $28 | 315% |
| The Health Plan | $15 - $28 | 315% |
| Trustmark Small Business Benefits | $15 - $28 | 315% |
| Unified Group Services | $15 - $28 | 315% |
| Varipro | $15 | 315% |
| Webtpa | $15 - $28 | 315% |
| Mclaren Health | $16 - $33 | 336% |
| Carelon Behavioral Health | $17 - $32 | 357% |
| Magellan Behavioral Health | $20 - $38 | 420% |
| 1199 National Benefit Fund | $23 - $43 | 483% |
| Allied National Global Care | $23 - $43 | 483% |
| Asrm - Reliance Standard Life Insurance | $23 - $43 | 483% |
| Christian Care Ministry | $23 - $43 | 483% |
| Dean Health | $23 - $43 | 483% |
| Fallon Health | $23 - $43 | 483% |
| Family Life Insurance Company | $23 - $43 | 483% |
| Ghc Scw | $23 - $43 | 483% |
| Group Pension Administrators | $23 - $43 | 483% |
| International Benefit Administrators | $23 - $43 | 483% |
| Lifetime Benefit Solutions | $23 - $43 | 483% |
| Manhattan Life | $23 - $43 | 483% |
| Medi Share | $23 - $43 | 483% |
| Multiplan | $23 - $43 | 483% |
| Mvp | $23 - $43 | 483% |
| Pai | $23 - $43 | 483% |
| Pan-American Life | $23 - $43 | 483% |
| Paramount Hmo | $23 - $43 | 483% |
| Phcs | $23 - $43 | 483% |
| Trinity Health Share | $23 - $43 | 483% |
| Access Health | $25 - $47 | 525% |
| Acclaim | $25 - $47 | 525% |
| Administrative Concepts | $25 - $47 | 525% |
| Allegeant | $25 - $47 | 525% |
| Ameriben | $25 - $47 | 525% |
| American Family | $25 - $47 | 525% |
| American Healthcare Alliance | $25 - $47 | 525% |
| American National | $25 - $47 | 525% |
| American Republic | $25 - $47 | 525% |
| Amerihealth | $25 - $47 | 525% |
| Aultcare | $25 - $47 | 525% |
| Automated Benefit Services | $25 - $47 | 525% |
| Auxiant | $25 - $47 | 525% |
| Benefit Administrative Systems,Llc | $25 - $47 | 525% |
| Boon Chapman | $25 - $47 | 525% |
| Cam Administrative Services | $25 - $47 | 525% |
| Christian Brother Services | $25 - $47 | 525% |
| Christian Brothers Holy Cross | $25 - $47 | 525% |
| Cigna | $25 - $47 | 525% |
| Comprehensive Benefits | $25 - $47 | 525% |
| Continental Life Insurance | $25 - $47 | 525% |
| Custom Benefit Administrators | $25 - $47 | 525% |
| Employee Benefit Concepts | $25 - $47 | 525% |
| Employee Benefit Management | $25 - $47 | 525% |
| Enterprise Group Planning | $25 - $47 | 525% |
| Freedom Life Insurance Company | $25 - $47 | 525% |
| Group Administrators | $25 - $47 | 525% |
| Group Marketing Services | $25 - $47 | 525% |
| Guardian | $25 - $47 | 525% |
| Health America | $25 - $47 | 525% |
| Health Choices | $25 - $47 | 525% |
| Health Partners | $25 - $46 | 525% |
| Healthcare Management Admin | $25 - $47 | 525% |
| Healthez | $25 - $47 | 525% |
| Humana | $25 - $47 | 525% |
| Insight | $25 - $47 | 525% |
| Intercare | $25 - $47 | 525% |
| Jfp Benefit Management | $25 - $47 | 525% |
| Jp Farley Corporation | $25 - $47 | 525% |
| Key Benefit Administrator | $25 - $47 | 525% |
| Liberty Union Life Assurance Co | $25 - $47 | 525% |
| Lucent Health | $25 - $47 | 525% |
| Luminare Health | $25 - $47 | 525% |
| Luminare Health (Detroit) | $25 - $47 | 525% |
| Magnacare | $25 - $47 | 525% |
| Medben | $25 - $47 | 525% |
| Medcost | $25 - $47 | 525% |
| Mutual Health Services | $25 - $47 | 525% |
| Mutual Of Omaha | $25 - $47 | 525% |
| Ncas | $25 - $47 | 525% |
| Nippon Life Ins | $25 - $47 | 525% |
| Nova | $25 - $47 | 525% |
| Painters Union Insurance Fund | $25 - $47 | 525% |
| Physicians Mutual | $25 - $47 | 525% |
| Plumbers Local 98 Insurance Fund | $25 - $47 | 525% |
| Prairie States | $25 - $47 | 525% |
| Preferred One | $25 - $47 | 525% |
| Primary Physician Care | $25 - $47 | 525% |
| Professional Benefit Administrators | $25 - $47 | 525% |
| Siho Insurance Services | $25 - $47 | 525% |
| The Loomis Company | $25 - $47 | 525% |
| Tufts Health Plan | $25 - $46 | 525% |
| Unicare | $25 - $47 | 525% |
| Us Health And Life | $25 - $47 | 525% |
| Valenz | $25 - $47 | 525% |
| Western & Southern Financial Group | $25 - $47 | 525% |
| Wps | $25 - $47 | 525% |
| Coventry | $26 - $48 | 546% |
| First Health | $26 - $48 | 546% |
| Prime Health Services | $27 - $51 | 567% |
| Three Rivers Provider Network | $31 - $57 | 651% |
| Cmh Detroit Wayne Integrated Health Network | $34 - $63 | 714% |
| Cmh Lenawee County | $34 - $63 | 714% |
| Cmh Livingston County | $34 - $63 | 714% |
| Cmh Misc | $34 - $63 | 714% |
| Cmh Monroe County | $34 - $63 | 714% |
| Cmh Oakland County | $34 - $63 | 714% |
| Cmh Washtenaw County | $34 - $63 | 714% |