CMS Price Transparency Data

Blood test, potassium

Facility: Cleveland Clinic Children's Hospital for Rehab

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $19
Cash Discount Price: $20
vs. Medicare Baseline: 3.99x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Cleveland Clinic Children's Hospital for Rehab is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 3.99x the Medicare baseline. Located in 2801 Martin Luther King, Jr Drive, Cleveland, OH.

Cash / Self-Pay

$20

Average discount available for prompt cash payment at this facility.

Insurance Median

$19

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: $20 (420%)

Insurance Median: $19 (399%)

Cash: $20 (420% of Medicare)

Ins. Median: $19 (399% 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 399% of the Medicare baseline (a markup of 299%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Oscar	$9 - $12	189%
Aultcare	$11	231%
Cigna	$13 - $25	273%
Amish Community Aid Plan	$14 - $16	294%
Ohcp	$15	315%
Summacare	$15 - $16	315%
UnitedHealthcare	$16 - $23	336%
Buckeye	$17 - $21	357%
Healthsmart	$17	357%
Blue Cross Blue Shield	$18 - $23	378%
Caresource	$18	378%
Molina	$18	378%
Paramount	$18	378%
United	$18	378%
Amerihealth	$19	399%
Php	$19	399%
Phphi	$19	399%
The Health Plan	$19	399%
Upmc	$19	399%
Aetna	$20 - $31	420%
Cc Ehp	$22	462%
Gms	$22	462%
Medical Benefit Corp	$22	462%
Quality Care Partners	$22	462%
Consociate Health	$23	483%
Ohio Healthy	$25	525%
Managed Care Services	$28	588%
Multiplan	$28	588%
Three Rivers	$28	588%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $20.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84132.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cleveland Clinic Children's Hospital for Rehab is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84132.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.