CMS Price Transparency Data

Blood test, potassium

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $26
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 5.46x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Munson Healthcare Cadillac Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 5.46x the Medicare baseline. Located in 400 Hobart St, Cadillac, MI.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $50 (1050%)
Insurance Median: $26 (546%)
Cash: $50 (1050% of Medicare)
Ins. Median: $26 (546% 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 546% of the Medicare baseline (a markup of 446%). 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 $1 - $2 21%
Mclaren Health Plan $2 - $53 42%
Meridian $2 42%
Molina $2 - $5 42%
Priority Health $2 - $11 42%
UnitedHealthcare $2 - $52 42%
Aetna $5 - $64 105%
American Health Associates $5 105%
Autumnwood Of Mcbain Skilled Nursing $5 105%
Blue Care Network $5 105%
Cigna $5 - $11 105%
Cofinity $5 - $66 105%
Hap (Health Alliance Plan) $5 - $68 105%
Humana $5 105%
Medicare (plans) $5 105%
Michigan Amish Medical Board $5 105%
Promedica $5 105%
Samaritas Senior Living Skilled Nursing $5 105%
Wellcare (Meridian) $5 105%
Employee Benefits Logistics $8 168%
Hospice Of Michigan $20 - $51 420%
Munson Hospice $23 - $852 483%
Asr/Physicians Care $26 - $68 546%
Enterprise Group Planning/Employee Benefit Plan $26 - $68 546%
Medical Cost Savings Solution $26 - $68 546%
Nomi Health $26 - $68 546%
Robbing Group And Regency Employee Benefits $26 - $68 546%
First Health/Coventry Network $28 - $72 588%
Provider Network Of America Group Health $28 - $72 588%
Three Rivers Provider Network $28 - $72 588%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals