CMS Price Transparency Data

Blood test, potassium

Facility: Chester County Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $13
  • Cash Discount Price: $89
  • vs. Medicare Baseline: 2.73x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Chester County Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 2.73x the Medicare baseline. Located in 701 East Marshall Street, West Chester, PA.
Cash / Self-Pay
$89

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: $89 (1870%)
Insurance Median: $13 (273%)
Cash: $89 (1870% 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.

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
Cigna $3 - $89 63%
Aetna $5 - $53 105%
Clover Health Plan $5 105%
Devoted Health $5 105%
Health Partners $5 - $89 105%
Hospice Vna $5 105%
Humana $5 105%
Keystone First Vip Choice $5 105%
Medicare (plans) $5 105%
Mva Insurance $5 105%
Pa Health And Wellness $5 - $8 105%
Primecare Medical $5 105%
Tricare $5 105%
UnitedHealthcare $5 - $25 105%
Us Family Health Plan $5 105%
Va Medical Center $5 105%
Gateway $6 126%
Ibc $6 - $13 126%
Keystone Hmo Proactive $6 126%
Medicaid / KanCare $6 - $89 126%
Elap $7 147%
Claims Watcher $8 - $9 168%
Healthamerica/Coventry $8 168%
Keystone First $8 168%
Oscar Health Plan $8 168%
Centivo $9 189%
Elap Services $9 189%
Highmark $10 210%
Penn Global Medicine $13 273%
Geisinger Health Plan $15 315%
Pgm - Regie De L'Assurance Maladie Quebec $20 420%
Todays Option $25 525%
Preferred Health Care Eliance $28 588%
Pgm - Kuwait Defense $31 - $40 651%
Qualcare $34 714%
Pgm - Chop $36 756%
Pgm - Royal Embassy Of Saudi Arabia $53 1113%
Pgm - Embassy Of Qatar $58 1218%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $58 1218%
Pgm - Embassy Of The United Emirates/Ipc $62 1303%
Pgm - Kuwait Health Division $71 1492%
Pgm - Kuwait Oil $71 1492%
Preferred Health Care $71 1492%
Intergroup $76 1597%
Olympus $78 1639%
International Pfs $89 1870%
Medrisk $89 1870%
Not Adjusted $89 1870%
Workers Compensation $89 1870%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 East Marshall Street, West Chester, PA 19380
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals