CMS Price Transparency Data

Blood test, potassium

Facility: Charlevoix Area Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $42
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 8.82x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Charlevoix Area Hospital is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 8.82x the Medicare baseline. Located in 14700 Lakeshore Drive, Charlevoix, MI.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$42

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: $44 (924%)
Insurance Median: $42 (882%)
Cash: $44 (924% of Medicare)
Ins. Median: $42 (882% 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 882% of the Medicare baseline (a markup of 782%). 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 - $78 21%
Mclaren Health Plan $3 - $79 63%
Meridian $3 63%
Priority Health $3 - $85 63%
UnitedHealthcare $3 - $74 63%
Cigna $5 - $85 105%
Hap (Health Alliance Plan) $7 - $68 147%
Provider Network Of America/Hma Group Health $7 - $72 147%
Aetna $21 - $76 441%
Blue Care Network $21 - $40 441%
Medicare (plans) $21 - $40 441%
Michigan Amish Medical Board $21 - $40 441%
Northern Michigan Mennonite Group $21 - $40 441%
Molina $22 - $43 462%
Hospice Of Michigan $26 - $51 546%
Asr Physicians Care Network $35 - $68 735%
Employee Benefits Logistics $35 - $68 735%
Enterprise Group Planning Employee Benefit Plan $35 - $68 735%
First Health/Coventry Health/Community Care Network $35 - $68 735%
Medical Cost Savings Solution $35 - $68 735%
Three Rivers Provider Network $37 - $72 777%
Iba Health And Life Assurance Company $40 - $78 840%
Cofinity $41 - $79 861%
Nomi Health $41 - $79 861%
Preferred Medical Claim Solutions $42 - $80 882%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14700 Lakeshore Drive, Charlevoix, MI 49720
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals