CMS Price Transparency Data

Blood test, potassium

Facility: Englewood Hospital and Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $8
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Englewood Hospital and Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.68x the Medicare baseline. Located in 350 Engle St, Englewood, NJ.
Cash / Self-Pay
$7

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $7 (147%)
Insurance Median: $8 (168%)
Cash: $7 (147% of Medicare)
Ins. Median: $8 (168% 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
Oxford_741 $2 42%
UnitedHealthcare $2 - $5 42%
Americhoice_756 $4 84%
Emblem_762 $4 84%
Heathnet Federal Services $4 84%
Hip Health Plan $4 - $5 84%
Horizon New Jersey Health - Dsnp $4 - $5 84%
Aetna $5 - $32 105%
Americhoice_732 $5 105%
Amerigroup_758 $5 105%
Amerihealth_766 $5 105%
Blue Cross Blue Shield $5 - $38 105%
Clover_733 $5 105%
Emblem_734 $5 105%
Humana $5 105%
Wellcare_755 $5 105%
Wellcare_765 $5 105%
Amerigroup_754 $6 126%
Health Care Support_787 $8 168%
Amerihealth_760 $9 189%
Magnacare_768 $18 378%
Magnacare_770 $18 378%
Amerihealth_757 $30 630%
Multiplan $31 - $32 651%
Cigna $35 735%
Horizon $38 - $41 798%
Magnacare_763 $39 819%
Magnacare_769 $39 819%
Qualcare_752 $43 903%
Qualcare $44 924%
Bergen $49 1029%
Coventry $49 1029%
Magnacare $52 1092%
Qualcare_783 $7,783 163508%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Engle St, Englewood, NJ 07631
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals