CMS Price Transparency Data

Blood test, potassium

Facility: Hackensack University Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $57
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 11.97x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Hackensack University Medical Center is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 11.97x the Medicare baseline. Located in 30 Prospect Ave, Hackensack, NJ.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$57

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: $5 (105%)
Insurance Median: $57 (1197%)
Cash: $5 (105% of Medicare)
Ins. Median: $57 (1197% 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 1197% of the Medicare baseline (a markup of 1097%). 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
UnitedHealthcare $4 - $98 84%
Aetna $5 - $63 105%
Amerigroup $5 105%
Blue Cross Blue Shield $5 105%
Clover $5 105%
Horizon $5 - $169 105%
Seoul Medical Group $5 105%
United Community/Americhoice $5 105%
Vaccn $5 105%
Wellcare $5 105%
Karna $6 126%
Lhp Health $6 126%
Cigna $21 - $138 441%
Oxford $32 - $86 672%
Intergroup $46 - $121 966%
Bergen Risk $49 - $130 1029%
Brighton Health Plan $51 - $137 1071%
Activecare First McO $55 - $147 1155%
Chn $55 - $147 1155%
Multiplan - PHCS $55 - $147 1155%
Qualcare $57 - $153 1197%
Amerihealth $65 - $173 1366%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 30 Prospect Ave, Hackensack, NJ 07601
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals