CMS Price Transparency Data

Blood test, potassium

Facility: Lovelace Women's Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $256
Cash Discount Price: $85
vs. Medicare Baseline: 53.78x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Lovelace Women's Hospital is $256. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 53.78x the Medicare baseline. Located in 4701 Montgomery Boulevard Ne, Albuquerque, NM.

Cash / Self-Pay

$85

Average discount available for prompt cash payment at this facility.

Insurance Median

$256

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: $85 (1786%)

Insurance Median: $256 (5378%)

Cash: $85 (1786% of Medicare)

Ins. Median: $256 (5378% 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 5378% of the Medicare baseline (a markup of 5278%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
The Health Plan [2915]	$57	1197%
Healthscope Benefits [2290]	$75	1576%
UnitedHealthcare	$75	1576%
Benefit Management [1175]	$142	2983%
Magellan Behavioral Commercial [2895]	$142	2983%
Presbyterian Health Plan [1830]	$142	2983%
Zelis [2385]	$142	2983%
Administrative Concepts [1005]	$256	5378%
Aetna	$256	5378%
Allied Benefit Systems Inc [1030]	$256	5378%
Allied National Global Care [1035]	$256	5378%
American Medical Security [2190]	$256	5378%
Boon-Chapman [2375]	$256	5378%
Coresource [1315]	$256	5378%
Coventry Healthcare [1320]	$256	5378%
Emblem Health [2430]	$256	5378%
Employee Benefit Management Services [2445]	$256	5378%
First Health [1375]	$256	5378%
Fmh Benefit Services [1390]	$256	5378%
Healthcost Solutions [2415]	$256	5378%
Healthnet [1495]	$256	5378%
Healthsmart [1505]	$256 - $264	5378%
Kaiser Permanente [1560]	$256	5378%
Multiplan [1680]	$256	5378%
Mutual Of Omaha [1685]	$256	5378%
National Telephone Cooperative [1700]	$256	5378%
Northamerica Administrators [1725]	$256	5378%
Pan American Life Insurance Co [1770]	$256	5378%
Phcs [1780]	$256	5378%
Trustmark [2030]	$256	5378%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $85.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84132.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lovelace Women's Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84132.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.