CMS Price Transparency Data

Blood test, potassium

Facility: Queens Hospital Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $16
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 3.36x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Queens Hospital Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 3.36x the Medicare baseline. Located in 82-68 164Th Street, Jamaica, NY.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $5 (105%)
Insurance Median: $16 (336%)
Cash: $5 (105% of Medicare)
Ins. Median: $16 (336% 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 336% of the Medicare baseline (a markup of 236%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $3 - $13 63%
Blue Cross Blue Shield $4 - $88 84%
Healthfirst $4 - $88 84%
Centers Plan For Healthy Living $5 105%
Elderplan $5 105%
Fidelis $5 - $88 105%
Centerlight $6 - $10 126%
Hamaspik $6 126%
Magnacare $6 126%
Villagecare Max $6 - $16 126%
Local 1199 $7 - $16 147%
Oscar $7 147%
Oxford $7 147%
United $7 - $42 147%
Wellcare $7 - $12 147%
Affinity $8 - $88 168%
Cigna $12 252%
Carelon $13 - $39 273%
Emblem $13 - $53 273%
Multiplan $15 315%
Vnsny $16 - $40 336%
Metroplus $38 - $88 798%
Amidacare $39 819%
Senior Whole Health $39 819%
United Behavioral Health $39 - $43 819%
Carelon (Amida Care) $40 840%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 82-68 164Th Street, Jamaica, NY 11432
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals