CMS Price Transparency Data

Blood test, potassium

Facility: University Hospitals Conneaut Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $57
  • Cash Discount Price: $72
  • vs. Medicare Baseline: 11.97x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at University Hospitals Conneaut Medical Center is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 11.97x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.
Cash / Self-Pay
$72

Average discount available for prompt cash payment at this facility.

Insurance Median
$57

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: $72 (1513%)
Insurance Median: $57 (1197%)
Cash: $72 (1513% of Medicare)
Ins. Median: $57 (1197% 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 1197% of the Medicare baseline (a markup of 1097%). 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 - $114 42%
University Health Employee Plan (Contigo) $6 126%
Aetna $11 - $66 231%
Cigna $22 - $88 462%
Devoted $22 - $37 462%
Humana $22 - $37 462%
Medical Mutual Of Ohio $22 - $113 462%
Molina $22 - $37 462%
Primetime Health Plan $22 - $37 462%
Summacare $22 - $61 462%
The Health Plan $22 - $79 462%
UnitedHealthcare $22 - $58 462%
Wellcare By Allwell $22 - $37 462%
Paramount $23 - $38 483%
Perennial Advantage Of Ohio $23 - $39 483%
Valor Health Plans $23 - $39 483%
Amish Aid Community Plan $33 - $55 693%
Amish Church Fund And Workers Aid Plan $33 - $55 693%
Buckeye Plain Ministries $33 - $55 693%
Jp Farley $33 - $56 693%
Clarity $34 - $58 714%
Christian Healthcare Ministries $36 - $60 756%
Immergrun $36 - $60 756%
Sunrise Plan Communities $36 - $60 756%
Aultcare $39 - $66 819%
Ambetter / Centene $40 - $67 840%
Caresource $40 - $67 840%
Healthsmart $46 - $78 966%
Ohio Health Choice $46 - $108 966%
Medical Mutual Traditional/Health Ohio $50 - $84 1050%
Beech Street $57 - $108 1197%
Ohio Preferred Network $57 - $108 1197%
First Health $59 - $100 1239%
Century Health Network $60 - $102 1261%
Private Healthcare System $61 - $103 1282%
Configurenet $64 - $108 1345%
Fortified Provider Network $64 - $108 1345%
Multiplan $64 - $108 1345%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals