CMS Price Transparency Data

Blood test, potassium

Facility: Lakewood Health System

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $28
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 5.88x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Lakewood Health System is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 5.88x the Medicare baseline. Located in 49725 County Road 83, Staples, MN.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $42 (882%)
Insurance Median: $28 (588%)
Cash: $42 (882% of Medicare)
Ins. Median: $28 (588% 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 588% of the Medicare baseline (a markup of 488%). 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 $26 - $49 546%
Humana $27 567%
Medica Msho/Mcr Adv $27 567%
UnitedHealthcare $27 - $60 567%
Ucare Mcr Adv $28 588%
Ucare Msho/Special Needs $28 588%
Ucare Individual/Family - All Other Plans $31 651%
Medica Choice Care $33 693%
Medica Choice/Focus/Ifb/Mhps - All Other Plans $60 1261%
Health Partners - All Plans $63 1324%
Preferred One Hmo $64 1345%
Preferred One Ppo - All Other Plans $64 1345%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 49725 County Road 83, Staples, MN 56479
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals