CMS Price Transparency Data

Blood test, potassium

Facility: Essentia Health Holy Trinity Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $51
  • Cash Discount Price: $61
  • vs. Medicare Baseline: 10.71x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Essentia Health Holy Trinity Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 10.71x the Medicare baseline. Located in 115 Second Street West, Box 157, Graceville, MN.
Cash / Self-Pay
$61

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $61 (1282%)
Insurance Median: $51 (1071%)
Cash: $61 (1282% of Medicare)
Ins. Median: $51 (1071% 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 1071% of the Medicare baseline (a markup of 971%). 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
Advocare/Security Health $5 - $51 105%
Blue Cross Blue Shield $5 - $72 105%
Freedom Blue Ppo $5 - $51 105%
Healthpartners Care Msho / Mcr Adv $5 - $51 105%
Imcare Msho Pcc Prime $5 - $51 105%
Imcare Msho Ref Req $5 - $51 105%
Itasca Med Care $5 105%
Medica Advantage Solutions $5 - $51 105%
Medica Msho/Dual Solutions $5 - $51 105%
Medica Prime Solution Group $5 - $51 105%
Medicare (plans) $5 - $51 105%
Nd Va Administration $5 - $51 105%
Platinum Blue/Vantage Blue $5 - $51 105%
Primewest $5 105%
Primewest Msho $5 - $51 105%
Secure Blue Msho $5 - $51 105%
Ubh Cost Plan $5 - $51 105%
Ubh Msho $5 - $51 105%
Ucare Msho $5 - $51 105%
UnitedHealthcare $5 - $75 105%
Healthpartners Care Pmap $32 672%
Medica Access $33 - $52 693%
Sanford Healthplan $36 - $37 756%
Blue Plus Pmap Pcc Prime $46 - $72 966%
Healthpartners $50 - $55 1050%
Cigna $55 1155%
Healthpartners Pcc Prime $55 1155%
Ucare $55 1155%
Wea $60 - $64 1261%
America'S Ppo $64 1345%
Medica $69 - $73 1450%
Medica Uplan $69 1450%
Wps $69 - $70 1450%
Aetna $71 1492%
Medica Choice $75 1576%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Second Street West, Box 157, Graceville, MN 56240
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals