CMS Price Transparency Data

Blood test, potassium

Facility: Holland Community Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $7
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Holland Community Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.47x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $19 (399%)
Insurance Median: $7 (147%)
Cash: $19 (399% of Medicare)
Ins. Median: $7 (147% 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
Nomi Health - All Plans $1 21%
UnitedHealthcare $1 - $31 21%
Aetna $5 - $7 105%
Health Alliance Mcr Adv $5 105%
Life Circles-All Plans $5 105%
Longevity Health Plan-All Plans $5 105%
Ph Mcr Adv $5 105%
Va Ccn - All Plans $5 105%
Cofinity -All Plans $6 126%
Asr - All Plans $7 147%
Health Alliance Ahl - All Other Plans $7 147%
Health Alliance Hmo $7 147%
Sisco Epi $8 168%
Sisco-All Other Plans $8 168%
Cigna $10 210%
Molina Mcaid - All Plans $10 210%
Ph Mcaid $10 210%
Priority Health - All Other Plans $11 231%
Multiplan - All Plans $27 567%
Benefit Source Inc-All Plans $28 588%
First Health-All Plans $28 588%
Usa Managed Care-All Plans $28 588%
Integrated Health Plans-All Plans $29 609%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 602 Michigan Ave, Holland, MI 49423
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals