CMS Price Transparency Data

Blood test, potassium

Facility: Mercy Hospital - Cassville

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $54
Cash Discount Price: $44
vs. Medicare Baseline: 11.34x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Mercy Hospital - Cassville is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 11.34x the Medicare baseline. Located in 94 Main Street, Cassville, MO.

Cash / Self-Pay

$44

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $44 (924%)

Insurance Median: $54 (1134%)

Cash: $44 (924% of Medicare)

Ins. Median: $54 (1134% 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 1134% of the Medicare baseline (a markup of 1034%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $61	84%
Humana	$4 - $58	84%
Medicaid / KanCare	$4 - $35	84%
Blue Cross Blue Shield	$5 - $66	105%
Medicare (plans)	$5 - $29	105%
UnitedHealthcare	$7 - $65	147%
Dept Of Veteran Affairs Contracted [320106]	$23	483%
Cherokee Nation Health Serv Contracted [320066]	$28	588%
Cigna	$28 - $65	588%
Cross Timbers Hospice [20098]	$28	588%
Elara Caring Aspire Hospice [20433]	$28	588%
Globalhealth Contracted [320145]	$28	588%
Halo Hcr Inc Hospice Contracted [320432]	$28	588%
Halo Hcr Inc Hospice [20432]	$28	588%
Healthscope Contracted [320182]	$28	588%
Indian Health Service Contracted [320198]	$28	588%
Kindful Hospice Contracted [320434]	$28	588%
Kindful Hospice [20434]	$28	588%
Medical Associates Health Contracted [320444]	$28	588%
Mercy Hospice Okc [20252]	$28	588%
Mercy Mgd Behavioral Health Contracted [320259]	$28	588%
Pace Of The Ozarks Contracted [320518]	$28	588%
Provider Partners Health Plans Contracted [320450]	$28	588%
Qual Choice Contracted [320325]	$28	588%
Tricare	$28	588%
Administrative Payor Contracted [320005]	$31	651%
Ambetter / Centene	$35	735%
Centivo Contracted [320505]	$35	735%
Home State Health Plan Contracted [320187]	$35	735%
Novasys Contracted [320285]	$35	735%
Healthlink Contracted [320179]	$44 - $61	924%
Preferred Health Plan Contracted [320522]	$44	924%
Health Systems Inc Contracted [320174]	$54	1134%
Insurance System Inc Contracted [320465]	$54	1134%
Point C Contracted [320238]	$54 - $61	1134%
Point C [20238]	$54	1134%
United Medical Resources Contracted [320454]	$54 - $58	1134%
Workers Comp [20426]	$54 - $61	1134%
Municipal Health Plan Contracted [320271]	$55	1155%
90 Degree Benefits Contracted [320436]	$61	1282%
Aither Health Contracted [320449]	$61	1282%
American Healthcare Alliance Contracted [320020]	$61	1282%
Auxiant Contracted [320462]	$61	1282%
Benefit Management Contracted [320052]	$61	1282%
Ebms Contracted [320493]	$61	1282%
Edison Health Solutions Contracted [320502]	$61	1282%
Evolutions Health Care Contracted [320124]	$61	1282%
Imagine 360 Contracted [320494]	$61	1282%
Medica Contracted [320239]	$61	1282%
Mercy Benefit Admin Contracted [320251]	$61	1282%
Reflect Health Contracted [320492]	$61	1282%
Show-Me Health Administrators Contracted [320483]	$61	1282%
Usa Managed Care Org Contracted [320429]	$61	1282%
Yuzu Health Contracted [320521]	$61	1282%
First Health Contracted [320128]	$65	1366%
Multiplan Contracted [320270]	$65	1366%
Private Health Care Systems Contracted [320320]	$65	1366%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $44.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84132.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy Hospital - Cassville is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84132.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.