CMS Price Transparency Data

Blood test, potassium

Facility: Jacobson Memorial Hospital Care Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $30
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 6.30x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Jacobson Memorial Hospital Care Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 6.30x the Medicare baseline. Located in 601 East St N, Elgin, ND.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $25 (525%)
Insurance Median: $30 (630%)
Cash: $25 (525% of Medicare)
Ins. Median: $30 (630% 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 630% of the Medicare baseline (a markup of 530%). 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
Aetna $20 - $33 420%
Medicaid / KanCare $24 504%
Tricare $25 525%
UnitedHealthcare $25 - $33 525%
Medica $26 546%
Tlc Advantage $26 546%
Cigna $30 630%
Healthpartners $30 630%
Medicare (plans) $30 - $40 630%
Multiplan Commercial $30 630%
Blue Cross Blue Shield $33 - $46 693%
Humana $33 693%
Nextblue $33 693%
Sanford Health Plan $33 693%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 601 East St N, Elgin, ND 58533
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals