CMS Price Transparency Data

Blood test, potassium

Facility: Oklahoma Heart Hospital, LLC

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $28
Cash Discount Price: $3,456
vs. Medicare Baseline: 5.88x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Oklahoma Heart Hospital, LLC is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,456. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 5.88x the Medicare baseline. Located in 4050 West Memorial Road, Oklahoma City, OK.

Cash / Self-Pay

$3,456

Average discount available for prompt cash payment at this facility.

Insurance Median

$28

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: $3,456 (72605%)

Insurance Median: $28 (588%)

Cash: $3,456 (72605% of Medicare)

Ins. Median: $28 (588% 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 588% of the Medicare baseline (a markup of 488%). 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
Aetna	$4 - $2,516	84%
Humana	$4 - $2,516	84%
Blue Cross Blue Shield	$5 - $2,519	105%
Cigna	$5 - $2,516	105%
Geha	$5 - $2,672	105%
Medicare (plans)	$5 - $2,591	105%
UnitedHealthcare	$5 - $2,672	105%
Va Ccn	$5 - $2,516	105%
Veterans Eval Services	$5 - $2,516	105%
Ambetter / Centene	$7 - $3,522	147%
Community Care	$10 - $5,031	210%
The Kempton Group	$12 - $6,289	252%
Healthcare Highways	$15 - $36	315%
Healthscope	$28	588%
Oscar Insurance Company	$28	588%
Webtpa Chickasaw Nation Hch	$28	588%
Webtpa Hobby Lobby Hch	$32	672%
Coventry	$35	735%
Global Health	$38	798%
Sana Benefits	$39	819%
Ufcw	$39	819%
First Health Network	$41	861%
Manhattan Life	$41	861%
Phcs	$42	882%
Preferred Community Choice	$46	966%
Multiplan	$54	1134%

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 $3,456.
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 Oklahoma Heart Hospital, LLC 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.