CMS Price Transparency Data

Blood test, potassium

Facility: Ohio State University State Health System

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $15
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.15x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Ohio State University State Health System is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 3.15x the Medicare baseline. Located in 410 West 10Th Avenue, Columbus, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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%)
Insurance Median: $15 (315%)
Ins. Median: $15 (315% 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 315% of the Medicare baseline (a markup of 215%). 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 - $30 105%
Blue Cross Blue Shield $5 - $36 105%
Buckeye Community $5 - $7 105%
Caresource $5 - $7 105%
Healthspan $5 - $18 105%
Humana $5 - $49 105%
Medicare (plans) $5 105%
Medigold $5 105%
Mmo $5 105%
Molina $5 - $8 105%
United $5 105%
Upper Ohio Valley $5 - $24 105%
Osu Health Plan $11 - $18 231%
Ohio Ppo $14 - $17 294%
Odrc $15 315%
Ohiohealth $24 - $28 504%
Lifetrac $25 525%
Cigna $28 588%
Frontpath $30 630%
Multiplan $30 630%
Healthsmart $33 693%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 410 West 10Th Avenue, Columbus, OH 43210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals