CMS Price Transparency Data

Blood test, potassium

Facility: Saratoga Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Saratoga Hospital is $5. 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 1.05x the Medicare baseline. Located in 211 Church Street, Saratoga Springs, NY.
Cash / Self-Pay
$7

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $5 (105%)
Cash: $7 (147% of Medicare)
Ins. Median: $5 (105% 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
UnitedHealthcare $2 - $131 42%
Blue Shield Highmark $3 63%
Cdphp $3 - $50 63%
Fidelis $4 - $50 84%
Mvp $4 - $5 84%
Aetna $5 - $18 105%
Blue Cross Blue Shield $5 - $67 105%
Cigna $5 105%
Emblem $5 105%
Emblem Health Ghi $5 105%
Hamaspik $5 - $52 105%
Medicaid / KanCare $5 105%
Medicare (plans) $5 105%
Nascentia Health Options $5 105%
Tricare $5 105%
Blue Shield $9 - $13 189%
Mvp Commercial $9 - $110 189%
Empire Plan Nyship $10 - $110 210%
Multiplan $10 - $124 210%
Magnacare $12 - $139 252%
Mvp Essential Plan $22 - $44 462%
Mvp Govt Programs $22 462%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 Church Street, Saratoga Springs, NY 12866
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals