CMS Price Transparency Data

Blood test, potassium

Facility: University Hospitals Samaritan Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $55
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 11.55x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at University Hospitals Samaritan Medical Center is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 11.55x the Medicare baseline. Located in 1025 Center St, Ashland, OH.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $58 (1218%)
Insurance Median: $55 (1155%)
Cash: $58 (1218% of Medicare)
Ins. Median: $55 (1155% 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 1155% of the Medicare baseline (a markup of 1055%). 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 $5 - $81 105%
Blue Cross Blue Shield $5 - $85 105%
Cigna $5 - $87 105%
Devoted Health $5 105%
Humana $5 105%
Molina $5 105%
Paramount $5 105%
Perennial Advantage Of Ohio $5 105%
Primetime Health Plan $5 105%
Summacare $5 - $86 105%
The Health Plan $5 - $83 105%
UnitedHealthcare $5 - $87 105%
Valor Health Plans $5 105%
Wellcare By Allwell $5 105%
University Health Employee Plan (Contigo) $6 126%
Ambetter / Centene $9 189%
Caresource $9 189%
Medical Mutual Of Ohio $22 - $93 462%
Amish Aid Community Plan $28 - $43 588%
Amish Church Fund And Workers Aid Plan $28 - $43 588%
Buckeye Plain Ministries $28 - $43 588%
Christian Healthcare Ministries $30 - $47 630%
Immergrun $30 - $47 630%
Sunrise Plain Communities $30 - $47 630%
Medical Mutual Traditional/Health Ohio $43 - $66 903%
Beech Street $49 - $85 1029%
Ohio Preferred Network $49 - $85 1029%
First Health $51 - $78 1071%
Century Health Network $52 - $80 1092%
Ohio Health Choice $52 - $85 1092%
Private Healthcare System $52 - $81 1092%
Aultcare $55 - $85 1155%
Clarity $55 - $85 1155%
Configurenet $55 - $85 1155%
Fortified Provider Network $55 - $85 1155%
Healthsmart $55 - $85 1155%
Jp Farley $55 - $85 1155%
Multiplan $55 - $85 1155%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1025 Center St, Ashland, OH 44805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals