CMS Price Transparency Data

Blood test, potassium

Facility: Geisinger-Lewistown Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $13
Cash Discount Price: $18
vs. Medicare Baseline: 2.73x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Geisinger-Lewistown Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 2.73x the Medicare baseline. Located in 400 Highland Avenue, Lewistown, PA.

Cash / Self-Pay

$18

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: $18 (378%)

Insurance Median: $13 (273%)

Cash: $18 (378% 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.

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
Advantra	$5	105%
Blue Cross Blue Shield	$5 - $16	105%
Geisinger Health Plan	$5 - $22	105%
Humana	$5	105%
Medicare (plans)	$5	105%
Upmc Health Plan	$5 - $11,890	105%
Medicaid / KanCare	$6	126%
Amerihealth	$7	147%
Geisinger Family Plan	$7	147%
Health Partners	$8	168%
Upmc Chip	$8	168%
Ambetter / Centene	$11	231%
Aetna	$12 - $14	252%
Cigna	$13 - $15	273%
UnitedHealthcare	$13	273%
Christian Healthcare Ministries	$14	294%
Christian Health Aid	$23	483%
Three Rivers Provider Network Inc.	$23	483%
Multiplan	$25	525%
Healthsmart Payors Organization	$26	546%

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 $18.
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 Geisinger-Lewistown Hospital 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.