CMS Price Transparency Data

Blood test, potassium

Facility: Mid-Columbia Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $22
  • Cash Discount Price: $20
  • vs. Medicare Baseline: 4.62x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Mid-Columbia Medical Center is $22. 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 4.62x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$20

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $22 (462%)
Cash: $20 (420% of Medicare)
Ins. Median: $22 (462% 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 462% of the Medicare baseline (a markup of 362%). 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
Pacific Source - All Plans $2 42%
Blue Cross Blue Shield $5 - $135 105%
Community Hp Mcr Adv - All Plans $5 105%
Healthnet Mcr Adv $5 105%
Humana $5 105%
Moda Mcr Adv $5 105%
Molina - All Other Plans $5 105%
Molina Mcr Adv $5 105%
Tricare $5 105%
Va Ccn Triwest - All Plans $5 105%
Employee Health Plan - All Plans $9 189%
Norocor - All Plans $21 441%
Amerigroup Mcaid - All Plans $22 462%
Coordinated Care Mcaid - All Plans $22 462%
Molina Mcaid $22 462%
UnitedHealthcare $22 - $40 462%
Moda Health Plan - All Other Plans $28 588%
Healthscape - All Plans $34 714%
Coventry - All Plans $38 798%
First Health - All Plans $38 798%
Aetna $39 819%
Cigna $40 840%
First Choice - All Plans $40 840%
Multiplan/Phcs - All Plans $40 840%
Providence Ppo - All Plans $40 840%
Trpn - Three Rivers - All Plans $40 840%
Ahp - Americas Hlth Plan - All Plans $41 861%
Devoted Mcr Adv - All Plans $46 966%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals