CMS Price Transparency Data

Blood test, potassium

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $26
Cash Discount Price: $96
vs. Medicare Baseline: 5.46x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Memorial Hospital for Cancer and Allied Diseases is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 5.46x the Medicare baseline. Located in 1275 York Ave, New York, NY.

Cash / Self-Pay

$96

Average discount available for prompt cash payment at this facility.

Insurance Median

$26

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: $96 (2017%)

Insurance Median: $26 (546%)

Cash: $96 (2017% of Medicare)

Ins. Median: $26 (546% 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 546% of the Medicare baseline (a markup of 446%). 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
Emblem	$9 - $54	189%
Cigna	$17	357%
Healthfirst	$18 - $58	378%
Oxford	$19	399%
UnitedHealthcare	$19	399%
Fidelis	$20 - $24	420%
Aetna	$24 - $36	504%
Empire	$32 - $40	672%
Magnacare	$61 - $77	1282%
Metroplus	$62	1303%
Urn	$68	1429%
6 Degrees Health	$75	1576%
Multiplan	$86	1807%

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 $96.
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 Memorial Hospital for Cancer and Allied Diseases 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.