CMS Price Transparency Data

Blood test, potassium

Facility: Pioneer Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $61
Cash Discount Price: $51
vs. Medicare Baseline: 12.82x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Pioneer Medical Center is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 12.82x the Medicare baseline. Located in 301 W 7Th Ave, Big Timber, MT.

Cash / Self-Pay

$51

Average discount available for prompt cash payment at this facility.

Insurance Median

$61

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: $51 (1071%)

Insurance Median: $61 (1282%)

Cash: $51 (1071% of Medicare)

Ins. Median: $61 (1282% 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 1282% of the Medicare baseline (a markup of 1182%). 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
Blue Cross Blue Shield	$29 - $53	609%
Health Info Net Mcr Adv	$29	609%
Healtnet Federal-All Plans	$29	609%
Humana	$29 - $59	609%
Triwest Va Pccc-All Plans	$29	609%
UnitedHealthcare	$29 - $61	609%
Rocky Mountain Health Network-All Plans	$45	945%
Allegiance Provider-All Plans	$54	1134%
Mountain Health Co-Op Hpn	$56	1176%
6 Degrees Health-All Plans	$61	1282%
Americas Choice-All Plans	$61	1282%
City Of Billings-All Plans	$61	1282%
Community Health Ntwk-All Plans	$61	1282%
Ebms Select Care Network-All Plans	$61	1282%
Fedmed Network-All Plans	$61	1282%
First Choice Big Sky-All Plans	$61	1282%
First Health-All Plans	$61	1282%
Interwest Ppo	$61	1282%
Mountain Health Co-Op-All Other Plans	$61	1282%
Pacific Source-All Plans	$61	1282%
Pacific Steel & Recycling-All Plans	$61	1282%
Three Rivers-All Plans	$61	1282%
Health Info Net Peak/Equity	$62	1303%
Health Info Net Standard-All Other Plans	$62	1303%
Mountain Health Co-Op Ppo/Pos	$63	1324%
Interwest Health Traditional-All Other Plans	$64	1345%

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 $51.
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 Pioneer Medical Center 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.