CMS Price Transparency Data

Blood test, potassium

Facility: Missouri Baptist Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $10
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 2.10x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Missouri Baptist Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 2.10x the Medicare baseline. Located in 3015 N Ballas Rd, Saint Louis, MO.
Cash / Self-Pay
$11

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $11 (231%)
Insurance Median: $10 (210%)
Cash: $11 (231% of Medicare)
Ins. Median: $10 (210% 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 210% of the Medicare baseline (a markup of 110%). 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 $5 - $14 105%
Blue Cross Blue Shield $5 - $17 105%
Cox Health [757] $5 105%
Devoted Health Plan [847] $5 105%
Essence Healthcare [221] $5 105%
Humana $5 - $13 105%
Medica [662] $5 105%
UnitedHealthcare $5 - $14 105%
Healthscope Benefits [258] $6 - $10 126%
Cigna $7 - $10 147%
Allied Benefits [498] $8 - $14 168%
Consociate [478] $8 168%
Coresource [497] $8 168%
Fmh Benefit Service Inc [222] $8 168%
Mail Handlers [495] $8 168%
Sarah Bush Lincoln [636] $8 168%
Healthlink [225] $9 - $14 189%
Apwu Health Plan [216] $10 210%
Cox Health Systems Insurance Company [220] $10 - $12 210%
Health Alliance [224] $10 210%
Nalc Health Benefit Plan [242] $10 210%
Priority Health [648] $10 210%
Med-Pay [480] $12 - $14 252%
Unicare [568] $12 - $14 252%
Beechstreet [551] $14 294%
Detego Health [868] $14 294%
First Health Commercial [734] $14 294%
Health Systems Inc [620] $14 294%
Healthcare Sol Mercy [609] $14 294%
Multiplan Commercial [737] $14 294%
Multiplan [240] $14 294%
Phcs [244] $14 - $15 294%
Preferred Health Professionals [561] $14 294%
Hfn [563] $15 315%
Medica [661] $15 315%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3015 N Ballas Rd, Saint Louis, MO 63131
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals