CMS Price Transparency Data

Blood test, potassium

Facility: Uh Cleveland Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $64
  • Cash Discount Price: $78
  • vs. Medicare Baseline: 13.45x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Uh Cleveland Medical Center is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 13.45x the Medicare baseline. Located in 11100 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$78

Average discount available for prompt cash payment at this facility.

Insurance Median
$64

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: $78 (1639%)
Insurance Median: $64 (1345%)
Cash: $78 (1639% of Medicare)
Ins. Median: $64 (1345% 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 1345% of the Medicare baseline (a markup of 1245%). 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
Blue Cross Blue Shield $2 - $77 42%
Aetna $5 - $102 105%
Cigna $5 - $79 105%
Devoted Health $5 105%
Humana $5 105%
Medical Mutual Of Ohio $5 - $81 105%
Molina $5 105%
Paramount $5 105%
Perennial Advantage Of Ohio $5 105%
Primetime Health Plan $5 105%
Summacare $5 - $88 105%
The Health Plan $5 - $84 105%
UnitedHealthcare $5 - $24 105%
Valor Health Plans $5 105%
Wellcare By Allwell $5 105%
University Health Employee Plan (Contigo) $6 126%
Ambetter / Centene $9 189%
Caresource $9 189%
Aultcare $10 210%
Amish Aid Community Plan $38 - $65 798%
Amish Church Fund And Workers Aid Plan $38 - $65 798%
Buckeye Plain Ministries $38 - $65 798%
Christian Healthcare Ministries $38 - $65 798%
Immergrun $38 - $65 798%
Sunrise Plain Communities $38 - $65 798%
Jp Farley $42 - $71 882%
Clarity $43 - $73 903%
Enterprise Group Planning $43 - $73 903%
Health Ohio Network $45 - $75 945%
Healthsmart $50 - $84 1050%
Ohio Health Choice $50 - $117 1050%
Medical Mutual Traditional/Health Ohio $54 - $91 1134%
Beech Street $62 - $117 1303%
Ohio Preferred Network $62 - $117 1303%
First Health $64 - $108 1345%
Century Health Network $65 - $110 1366%
Private Healthcare System $66 - $112 1387%
Configurenet $69 - $117 1450%
Fortified Provider Network $69 - $117 1450%
Multiplan $69 - $117 1450%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals