CMS Price Transparency Data

Blood test, potassium

Facility: Indiana Regional Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $7
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Indiana Regional Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.47x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $15 (315%)
Insurance Median: $7 (147%)
Cash: $15 (315% of Medicare)
Ins. Median: $7 (147% 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.

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
Highmark $3 - $15 63%
Highmark Wholecare $3 - $5 63%
Tricare $4 - $44 84%
Aetna $5 - $15 105%
Ambetter / Centene $5 - $9 105%
Amerihealth Caritas $5 - $8 105%
Cigna $5 - $15 105%
Geisinger Health Plan $5 - $8 105%
Humana $5 105%
Medicare (plans) $5 105%
United Mine Workers Of America $5 105%
UnitedHealthcare $5 - $18 105%
Upmc Health Plan $5 - $21 105%
Geisinger $7 - $13 147%
Pa Health And Wellness Commercial $7 - $13 147%
Department Of Human Services And Torrance State Hospital $26 - $28 546%
Premier Comp Solutions, Llc $37 - $40 777%
Miscellaneous Commercial $41 - $44 861%
Pa Workers Compensation $41 - $44 861%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals