CMS Price Transparency Data

Blood test, potassium

Facility: Mosaic Life Care at St Joseph

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $21
  • Cash Discount Price: $51
  • vs. Medicare Baseline: 4.41x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Mosaic Life Care at St Joseph is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 4.41x the Medicare baseline. Located in 5325 Faraon Street, Saint Joseph, MO.
Cash / Self-Pay
$51

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $51 (1071%)
Insurance Median: $21 (441%)
Cash: $51 (1071% of Medicare)
Ins. Median: $21 (441% 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 441% of the Medicare baseline (a markup of 341%). 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
Aetna $4 - $50 84%
Medicaid / KanCare $4 84%
UnitedHealthcare $4 - $85 84%
Amerigroup Of Iowa $5 - $7 105%
Blue Cross Blue Shield $5 - $52 105%
Iowa Total Care $5 - $7 105%
Molina Of Iowa $5 - $7 105%
Centurion $8 - $42 168%
Ambetter / Centene $9 189%
Freedom Select Healthlink $9 - $52 189%
Geha Shared Services $9 - $49 189%
Healthlink Open Access $9 - $52 189%
Preferred Health Professional $9 - $52 189%
Sisco $9 - $52 189%
Cigna $10 - $53 210%
Multiplan $21 - $54 441%
Home State Of Missouri $87 1828%
Healthy Blue Of Missouri $107 2248%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5325 Faraon Street, Saint Joseph, MO 64506
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals