CMS Price Transparency Data

Blood test, potassium

Facility: Wilkes Regional Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $9
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Wilkes Regional Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.89x the Medicare baseline. Located in 1370 West D St, North Wilkesboro, NC.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $8 (168%)
Insurance Median: $9 (189%)
Cash: $8 (168% of Medicare)
Ins. Median: $9 (189% 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.

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
Healthteam $5 105%
Medcost $5 - $11 105%
Aetna $6 - $11 126%
Blue Cross Blue Shield $6 - $9 126%
Amerihealth $7 - $9 147%
Ambetter / Centene $8 - $10 168%
Carolina Complete $8 168%
Cigna $8 - $9 168%
Healthblue $8 168%
Partners $8 168%
UnitedHealthcare $8 - $9 168%
Vaya $8 168%
Wellcare $8 168%
Alliance $9 189%
Directnet $9 189%
Oscar $9 - $10 189%
Trillium $9 189%
Private Healthcare Systems $14 294%
Multiplan $15 315%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1370 West D St, North Wilkesboro, NC 28659
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals