CMS Price Transparency Data

Blood test, potassium

Facility: Mercy Hospital Southeast

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $8
  • Cash Discount Price: $56
  • vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Mercy Hospital Southeast is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.68x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$56

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $56 (1176%)
Insurance Median: $8 (168%)
Cash: $56 (1176% of Medicare)
Ins. Median: $8 (168% 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.

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 $3 - $79 63%
Medicaid / KanCare $3 - $19 63%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $5 105%
Blue Cross Blue Shield $5 - $118 105%
Cross Timbers Hospice [20098] $5 105%
Dept Of Veteran Affairs Contracted [320106] $5 105%
Elara Caring Aspire Hospice Contracted [320433] $5 105%
Elara Caring Aspire Hospice [20433] $5 105%
Halo Hcr Inc Hospice Contracted [320432] $5 105%
Halo Hcr Inc Hospice [20432] $5 105%
Humana $5 - $105 105%
Kindful Hospice Contracted [320434] $5 105%
Kindful Hospice [20434] $5 105%
Medicare (plans) $5 105%
Mercy Hospice Okc [20252] $5 105%
Pace Of The Ozarks Contracted [320518] $5 105%
Provider Partners Health Plans Contracted [320450] $5 105%
Tricare $5 105%
UnitedHealthcare $5 - $11 105%
Ambetter / Centene $6 126%
Home State Health Plan Contracted [320187] $6 126%
United Medical Resources Contracted [320454] $6 126%
Consociate Consolidated Health Contracted [320490] $7 - $11 147%
Auxiant Contracted [320462] $8 - $9 168%
Centivo Contracted [320505] $8 168%
Ebms Contracted [320493] $8 168%
Healthlink Contracted [320179] $8 - $97 168%
Imagine 360 Contracted [320494] $8 168%
Mercy Benefit Admin Contracted [320251] $8 - $84 168%
Preferred Health Plan Contracted [320522] $8 168%
Reflect Health Contracted [320492] $8 168%
Yuzu Health Contracted [320521] $8 - $84 168%
Hope Trust Contracted [320488] $12 252%
Cigna $13 273%
First Health Contracted [320128] $31 - $79 651%
Health Alliance Contracted [320164] $31 - $81 651%
Aither Health Contracted [320449] $33 - $84 693%
Edison Health Solutions Contracted [320502] $33 - $84 693%
Mercy Benefit Admin [20251] $33 - $84 693%
Workers Comp [20426] $36 - $99 756%
Multiplan Contracted [320270] $38 - $99 798%
Private Health Care Systems Contracted [320320] $38 - $99 798%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals