Blood test, potassium
Facility: Golden Valley Memorial Hospital
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $5
- Cash Discount Price: $37
- vs. Medicare Baseline: 1.05x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
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 | 105% |
| Home State Health | $5 | 105% |
| Humana | $5 | 105% |
| UnitedHealthcare | $5 - $8 | 105% |
| Ambetter / Centene | $6 | 126% |
Consumer Guidance & Cost Commentary
Golden Valley Memorial Hospital in Clinton, Missouri, reports a cash price of $37 for the blood test, potassium procedure (CPT 84132). This cash rate is significantly lower than the facility's gross charge of $62 and stands in contrast to the state average, which is $5. While the facility's ownership is a Government Hospital District, the cash-pay option remains the most affordable path for self-pay patients, especially those with high-deductible plans who may face negotiated rates exceeding the cash price.
For patients with insurance, the data indicates a median negotiated rate of $5, though the median paid amount is not available in the current report. The facility's pricing is benchmarked against Medicare, where the allowed amount is $4.76, resulting in a comparison ratio of 1.1 to the cash price. To avoid potential balance billing or administrative fees, consumers are advised to explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can bypass the costly insurance claims cycle. Additionally, patients should always demand a full itemized bill rather than accepting summary invoices, which may obscure unbundled charges or services not rendered.