CMS Price Transparency Data

Blood test, potassium

Facility: University Medical Center of Princeton at Plainsboro

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $97
  • Cash Discount Price: $133
  • vs. Medicare Baseline: 20.38x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at University Medical Center of Princeton at Plainsboro is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 20.38x the Medicare baseline. Located in One-Five Plainsboro Road, Plainsboro, NJ.
Cash / Self-Pay
$133

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $133 (2794%)
Insurance Median: $97 (2038%)
Cash: $133 (2794% of Medicare)
Ins. Median: $97 (2038% 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 2038% of the Medicare baseline (a markup of 1938%). 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
Amerihealth $3 63%
Aetna $4 - $120 84%
Charity Care $4 84%
Medicaid / KanCare $4 - $144 84%
Wellcare $4 84%
Blue Cross Blue Shield $5 - $108 105%
Cigna $5 - $144 105%
Clover Health Plan $5 105%
Humana $5 105%
Medicare (plans) $5 105%
UnitedHealthcare $5 - $29 105%
Va Medical Center $5 105%
Horizon Nj Health $6 126%
Tricare $6 126%
Us Family Health Plan $6 126%
Elap $7 - $9 147%
Centivo $9 189%
Claim Watcher $9 189%
Preferred Health Care Eliance $31 - $37 651%
Horizon Behavioral Health $45 - $54 945%
Beacon Health Options $60 - $72 1261%
Magnacare $73 - $101 1534%
Princeton Theological Seminary $79 - $94 1660%
Coventry $85 - $101 1786%
Health Net $85 - $101 1786%
Beech Street $97 - $122 2038%
Intergrated Health Plan $97 - $115 2038%
Intergroup $97 - $115 2038%
Penn Global Medicine Embassy Only $97 - $115 2038%
Allied Trades $103 - $122 2164%
Consumer Health Network $103 - $122 2164%
Devon Health Services $103 - $122 2164%
First Managed Care Option $103 - $122 2164%
Ie Shaffer $103 - $122 2164%
Private Healthcare Systems $103 - $122 2164%
Qualcare $103 - $122 2164%
Total Care Network $103 - $122 2164%
Tri-State $103 - $122 2164%
Commercial Other $121 - $144 2542%
Compsych $121 - $144 2542%
Concern Plus $121 - $144 2542%
International Pfs $121 - $144 2542%
Life St. Francis $121 - $144 2542%
Magellan $121 - $144 2542%
Managed Health Network $121 - $144 2542%
Nj Carpenters $121 - $144 2542%
Penn Behavioral Health Corporate Services $121 - $144 2542%
Personnel Health Program $121 - $144 2542%
United Behavioral Health $121 - $144 2542%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One-Five Plainsboro Road, Plainsboro, NJ 08536
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals