CMS Price Transparency Data

Blood test, potassium

Facility: Ohio Valley Surgical Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $11,885
  • Cash Discount Price: $41
  • vs. Medicare Baseline: 2496.85x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Ohio Valley Surgical Hospital is $11,885. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 2496.85x the Medicare baseline. Located in 100 West Main Street, Springfield, OH.
Cash / Self-Pay
$41

Average discount available for prompt cash payment at this facility.

Insurance Median
$11,885

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: $41 (861%)
Insurance Median: $11,885 (249685%)
Cash: $41 (861% of Medicare)
Ins. Median: $11,885 (249685% 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 249685% of the Medicare baseline (a markup of 249585%). 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 - $40,293 42%
UnitedHealthcare $6 - $17,571 126%
Aetna $7 - $20,896 147%
Geha $7 - $20,896 147%
Genworth $7 - $20,896 147%
Mail Handlers $7 - $20,896 147%
Meritain $7 - $20,896 147%
Meritain Heatlh $7 - $20,896 147%
Mhbp $7 - $20,896 147%
Ngs Coresource $7 - $20,896 147%
Nippon Life $7 - $20,896 147%
Pacific Source $7 - $20,896 147%
Personify Health $7 - $20,896 147%
Mmoh $31 - $11,885 651%
Mmo Cin. Hmo $32 - $43 672%
Mmoh (Supermed) $32 672%
Medicare (plans) $41 - $12,264 861%
Luminare Health $62 1303%
Medben $62 1303%
Ohio Health $62 1303%
Preferred Health $62 1303%
Medicaid / KanCare $3,557 - $17,827 74727%
Amerihealth Caritas Of Ohio $3,657 76828%
Buckeye Community Health Plan $4,022 84496%
Molina Mcd $4,084 85798%
Caresource $4,364 - $17,827 91681%
Humana $4,493 - $11,919 94391%
Aarp $11,885 249685%
Aarp Supplemental $11,885 249685%
American Continental Insurance $11,885 249685%
American Continental Life $11,885 249685%
American Republic $11,885 249685%
American Retirement $11,885 249685%
Aultcare Primetime Health Plan $11,885 249685%
Bankers Fidelity $11,885 249685%
Bankers Life And Casualty $11,885 249685%
Central States $11,885 249685%
Champus $11,885 249685%
Cigna $11,885 - $18,817 249685%
Communicare Advantage $11,885 249685%
Everest $11,885 249685%
Gateway Health Plan $11,885 249685%
Medigold $11,885 249685%
Molina $11,885 249685%
Molina Dual Mcr $11,885 249685%
Molina Marketplace $11,885 249685%
Molina Dual Mcr $11,885 249685%
Molina Mcr $11,885 249685%
Molina Mcr Mcd $11,885 249685%
Molina Mcr+Mcd $11,885 249685%
Patient No Pay $11,885 249685%
Prosperity Supplement $11,885 249685%
Self Pay Imaging $11,885 249685%
Wellcare By Allwell $11,885 249685%
Wraparound Pl Supp $11,885 249685%
The Health Plan $12,479 262164%
Devoted Health $13,707 287962%
Employer Direct $15,703 329895%
Golden Rule $17,571 369139%
Medica $17,571 369139%
Oxford $17,571 369139%
Shl $17,571 369139%
Surest $17,571 369139%
Ushealth $17,571 369139%
Caresourse $17,827 374517%
Healthgram $18,817 395315%
Nalc $18,817 395315%
Samba $18,817 395315%
Sbma $18,817 395315%
Unified Group $18,817 395315%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 West Main Street, Springfield, OH 45502
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals