CMS Price Transparency Data

Blood test, potassium

Facility: Columbia Memorial Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $8
Cash Discount Price: $20
vs. Medicare Baseline: 1.68x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Columbia Memorial Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.68x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.

Cash / Self-Pay

$20

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $20 (420%)

Insurance Median: $8 (168%)

Cash: $20 (420% 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.

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
Aetna	$5 - $10	105%
Blue Cross Blue Shield	$5 - $36	105%
Cdphp	$5 - $44	105%
Emblem	$5 - $9	105%
Fidelis	$5 - $44	105%
Mvp	$5 - $41	105%
Empire Plan Nyship	$6	126%
UnitedHealthcare	$6	126%
Magnacare	$7	147%
Blue Shield	$8 - $16	168%
Mvp Commercial	$11 - $48	231%
Multiplan	$14 - $58	294%
Medicaid / KanCare	$20	420%
Hamaspik	$27	567%

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 $20.
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 Columbia Memorial 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.