CMS Price Transparency Data

Blood test, potassium

Facility: Promedica Monroe Regional Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $6
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Promedica Monroe Regional Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.26x the Medicare baseline. Located in 718 N Macomb St, Monroe, MI.
Cash / Self-Pay
$22

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $22 (462%)
Insurance Median: $6 (126%)
Cash: $22 (462% of Medicare)
Ins. Median: $6 (126% 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
Aetna $3 - $5 63%
Blue Cross Blue Shield $3 - $19 63%
Meridian $3 63%
Molina Healthcare Of Michigan $3 63%
Priority Health $3 - $19 63%
UnitedHealthcare $3 - $28 63%
Health Alliance Plan $5 - $6 105%
Humana $5 105%
Paramount Healthcare Inc $5 - $26 105%
Veterans Affairs $5 105%
Amerihealth $8 168%
Frontpath $20 420%
Cofinity $24 504%
Encore Health Network $24 504%
Health Ohio Network, Llc $24 504%
Multiplan $31 651%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 718 N Macomb St, Monroe, MI 48162
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals