CMS Price Transparency Data

Blood test, potassium

Facility: Stillwater Billings Clinic

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $24
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 5.04x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Stillwater Billings Clinic is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 5.04x the Medicare baseline. Located in 710 N 11Th St, Columbus, MT.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $40 (840%)
Insurance Median: $24 (504%)
Cash: $40 (840% of Medicare)
Ins. Median: $24 (504% 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 504% of the Medicare baseline (a markup of 404%). 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
Blue Cross Blue Shield $10 - $52 210%
Humana $17 - $38 357%
Pacific Source Mcr Advantage $17 - $37 357%
Tricare $17 - $37 357%
Pacific Steel Direct - All Plans $18 - $38 378%
Pacific Source Billings Clinic $19 - $41 399%
Allied Core Value $22 - $48 462%
Rci Wyoben $22 - $50 462%
Wyo-Ben Inc- All Plans $22 - $50 462%
Mountain Health Coop - All Plans $23 - $51 483%
Aetna $24 - $53 504%
All Savers-All Plans $24 - $52 504%
Allegiance Direct Ppo - All Other Plans $24 - $52 504%
Blackhawk - All Plans $24 - $52 504%
Boon Chapman First Choice Health $24 - $53 504%
Cigna $24 - $52 504%
Ebms First Choice Health $24 - $53 504%
Ebms Interwest $24 - $52 504%
Ebms Town Pump $24 - $52 504%
First Choice- All Plans $24 - $53 504%
Gpa Interwest- All Plans $24 - $52 504%
Interwest Health-All Plans $24 - $52 504%
Mtada- All Plans $24 - $52 504%
Murdoch Oil - All Plans $24 - $53 504%
Pacific Source Voyager - All Other Plans $24 - $52 504%
Pacificsource Nav $24 - $52 504%
Prodegi (Y-Tex Corp)- All Plans $24 - $52 504%
Rci First Choice Health - All Other Plans $24 - $53 504%
Rci Interwest $24 - $52 504%
Ryegate Public Schools - All Plans $24 - $53 504%
Savatree - All Plans $24 - $53 504%
Tabs - All Plans $24 - $53 504%
Town Pump Inc- All Plans $24 - $52 504%
Trustmark First Choice Health $24 - $53 504%
UnitedHealthcare $24 - $52 504%
Zenith First Choice Health- All Plans $24 - $53 504%
Allegiance State Of Mt $35 - $77 735%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 710 N 11Th St, Columbus, MT 59019
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals