CMS Price Transparency Data

Blood test, potassium

Facility: Montefiore Mount Vernon Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $6
  • Cash Discount Price: $59
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Montefiore Mount Vernon Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.26x the Medicare baseline. Located in 12 North 7Th Avenue, Mount Vernon, NY.
Cash / Self-Pay
$59

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $59 (1239%)
Insurance Median: $6 (126%)
Cash: $59 (1239% of Medicare)
Ins. Median: $6 (126% 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
Wellcare $4 - $5 84%
Amidacare $5 105%
Blue Cross Blue Shield $5 - $73 105%
Centerlight $5 105%
Emblem $5 - $73 105%
Fidelis $5 - $8 105%
Healthfirst $5 - $8 105%
Humana $5 105%
Longevity $5 105%
Medicaid / KanCare $5 105%
Point Comfort $5 105%
UnitedHealthcare $5 - $10 105%
Villagecaremax $5 105%
Vnsny Choice $5 105%
Vnsny Select Health $5 105%
Metroplus $6 126%
Oscar $7 147%
American Postal Workers $10 210%
Mvp $10 210%
Aetna $21 - $24 441%
Cigna $45 - $50 945%
Centivo $57 1197%
Elderplan $73 1534%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12 North 7Th Avenue, Mount Vernon, NY 10550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals