CMS Price Transparency Data
Blood test, potassium
Facility: Diley Ridge Medical Center
Billing Code: 84132 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84132
- Insurance Median: $13
- Cash Discount Price: $70
- vs. Medicare Baseline: 2.73x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Diley Ridge Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 2.73x the Medicare baseline. Located in 7911 Diley Road, Canal Winchester, OH.
Cash / Self-Pay
$70
Average discount available for prompt cash payment at this facility.
Insurance Median
$13
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: $70 (1471%)
Insurance Median: $13 (273%)
Cash: $70 (1471% of Medicare)
Ins. Median: $13 (273% 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 273% of the Medicare baseline (a markup of 173%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 | $4 - $28 | 84% |
| Medicare (plans) | $4 - $5 | 84% |
| Rural Carrier Health Benefit Plan | $4 | 84% |
| Blue Benefit Administrators Of Massachusetts | $5 | 105% |
| Blue Care Network | $5 | 105% |
| Blue Cross Blue Shield | $5 - $28 | 105% |
| Blue Distinction Transplant | $5 | 105% |
| Blue Shield - Ca | $5 | 105% |
| Blue Shield - Id (Regence) | $5 | 105% |
| Blue Shield - Ny Highmark Northeastern | $5 | 105% |
| Blue Shield - Ny Highmark Western | $5 | 105% |
| Blue Shield - Pa (Highmark) | $5 | 105% |
| Blue Shield - Wa (Regence) | $5 | 105% |
| Hospice Mount Carmel | $5 | 105% |
| Oscar | $5 | 105% |
| The Health Plan | $5 - $18 | 105% |
| UnitedHealthcare | $5 - $55 | 105% |
| Enterprise Group Planning | $9 | 189% |
| Custom Design Benefits | $10 | 210% |
| Quality Care Partners | $11 | 231% |
| Access Health | $13 | 273% |
| Acclaim | $13 | 273% |
| Administrative Concepts | $13 | 273% |
| Allegeant | $13 | 273% |
| Allied Benefit Systems | $13 | 273% |
| American Family | $13 | 273% |
| American Healthcare Alliance | $13 | 273% |
| American National | $13 | 273% |
| American Republic | $13 | 273% |
| Amerihealth | $13 | 273% |
| Aultcare | $13 | 273% |
| Automated Benefit Services | $13 | 273% |
| Auxiant | $13 | 273% |
| Benefit Administrative Systems,Llc | $13 | 273% |
| Boon Chapman | $13 | 273% |
| Cam Administrative Services | $13 | 273% |
| Christian Brother Services | $13 | 273% |
| Christian Brothers Holy Cross | $13 | 273% |
| Claimchoice Adminstrators | $13 | 273% |
| Comprehensive Benefits | $13 | 273% |
| Continental Life Insurance | $13 | 273% |
| Coventry | $13 | 273% |
| Custom Benefit Administrators | $13 | 273% |
| Cypress Benefit Administrators | $13 | 273% |
| Employee Benefit Concepts | $13 | 273% |
| Employee Benefit Management | $13 | 273% |
| Forest County Potawatomi | $13 | 273% |
| Freedom Life Insurance Company | $13 | 273% |
| Geha | $13 - $55 | 273% |
| Gravie Admin Services | $13 | 273% |
| Group Administrators | $13 | 273% |
| Group Marketing Services | $13 | 273% |
| Group Pension Administrators | $13 | 273% |
| Guardian | $13 | 273% |
| Health America | $13 | 273% |
| Health Choices | $13 | 273% |
| Healthcare Management Admin | $13 | 273% |
| Healthez | $13 | 273% |
| Insight | $13 | 273% |
| Intercare | $13 | 273% |
| Jfp Benefit Management | $13 | 273% |
| Jp Farley Corporation | $13 | 273% |
| Key Benefit Administrator | $13 | 273% |
| Liberty Union Life Assurance Co | $13 | 273% |
| Lucent Health | $13 | 273% |
| Luminare Health | $13 | 273% |
| Magnacare | $13 | 273% |
| Medcost | $13 | 273% |
| Meritain | $13 | 273% |
| Mutual Health Services | $13 | 273% |
| Mutual Of Omaha | $13 | 273% |
| Ncas | $13 | 273% |
| Nippon Life Ins | $13 | 273% |
| Nova | $13 | 273% |
| Painters Union Insurance Fund | $13 | 273% |
| Physicians Mutual | $13 | 273% |
| Plumbers Local 98 Insurance Fund | $13 | 273% |
| Prairie States | $13 | 273% |
| Preferred One | $13 | 273% |
| Primary Physician Care | $13 | 273% |
| Professional Benefit Administrators | $13 | 273% |
| Secureone Preferred United Plans | $13 | 273% |
| Siho Insurance Services | $13 | 273% |
| Sisco Benefits | $13 | 273% |
| The Loomis Company | $13 | 273% |
| Trustmark Small Business Benefits | $13 | 273% |
| U Of M Health Plan | $13 | 273% |
| Unicare | $13 | 273% |
| Unified Group Services | $13 | 273% |
| Us Health And Life | $13 | 273% |
| Valenz | $13 | 273% |
| Varipro | $13 | 273% |
| Webtpa | $13 | 273% |
| Wps | $13 | 273% |
| Humana | $14 - $28 | 294% |
| Medben | $14 - $21 | 294% |
| First Health | $15 | 315% |
| Consociate | $17 | 357% |
| Health Ohio Network | $17 | 357% |
| American Postal Workers Secondary | $20 | 420% |
| Caresource | $20 | 420% |
| Cigna | $20 | 420% |
| Health Partners | $20 | 420% |
| Healthgram | $20 | 420% |
| Mvp | $20 | 420% |
| Priority Health | $20 | 420% |
| Healthlink Inc | $21 | 441% |
| Luminare Health (Detroit) | $21 | 441% |
| Medical Benefits Mutual | $21 | 441% |
| Medical Mutual | $21 | 441% |
| Ohio Health Choice | $21 | 441% |
| Ohio Ppo Connect | $21 | 441% |
| Osu Not Independent Choice | $21 | 441% |
| Ameriben | $22 | 462% |
| Medi Share | $22 | 462% |
| Multiplan | $22 | 462% |
| Ohiohealthy | $22 | 462% |
| Phcs | $22 | 462% |
| Philadelphia American Life Insurance | $22 | 462% |
| Twin Valley Psychiatric | $22 | 462% |
| Health Smart | $24 | 504% |
| Bccp | $28 | 588% |
| Medicaid / KanCare | $28 | 588% |
| Optima Health | $28 | 588% |
| Crime Victim Assistance | $632 | 13277% |
| Ohio Safe Program | $632 | 13277% |