CMS Price Transparency Data

Blood test, potassium

Facility: Intermountain Health St Vincent Regional Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $18
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.78x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Intermountain Health St Vincent Regional Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 3.78x the Medicare baseline. Located in 1233 N 30Th St, Billings, MT.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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%)
Insurance Median: $18 (378%)
Ins. Median: $18 (378% 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 378% of the Medicare baseline (a markup of 278%). 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
Medicare (plans) $5 105%
UnitedHealthcare $5 - $22 105%
Ebms-Employee Benefit Mng $8 - $20 168%
Sibanye Stillwater Health Partners $9 189%
Coastal Administrative Services $10 210%
Exchange Other $11 - $16 231%
Mt Health Co-Op $11 - $16 231%
Allegiance $12 - $21 252%
Blue Cross Blue Shield $12 - $37 252%
Pacific Steel And Recycling $12 252%
Pacificsource $12 - $22 252%
First Choice Health $13 - $21 273%
Other $13 - $21 273%
Cigna $14 - $21 294%
Aetna $15 315%
Meritain Health $15 - $18 315%
Preferred One $20 - $22 420%
Interwest $21 441%
Geha $22 462%
Private Hlthcare Sys $22 462%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1233 N 30Th St, Billings, MT 59107
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals