CMS Price Transparency Data

Blood test, potassium

Facility: St Mary Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $9
  • Cash Discount Price: $185
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at St Mary Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.89x the Medicare baseline. Located in Langhorne-Newtown Rd, Langhorne, PA.
Cash / Self-Pay
$185

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $185 (3887%)
Insurance Median: $9 (189%)
Cash: $185 (3887% of Medicare)
Ins. Median: $9 (189% 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
Aetna $5 - $69 105%
Align Senior Care $5 105%
Blue Cross Blue Shield $5 - $15 105%
Cigna $5 - $24 105%
Medicare (plans) $5 - $9 105%
Amerihealth $6 126%
Blue Shield - Ca $6 126%
Blue Shield - Id (Regence) $6 126%
Blue Shield - Ny Highmark Western $6 126%
Blue Shield - Wa (Regence) $6 126%
Health America Advantra $6 126%
Medicaid / KanCare $7 - $15 147%
Ambetter / Centene $8 168%
Pace-Trinity Health $8 168%
Homestead Health Plans Woods Center $9 189%
Jefferson Health Plan Commercial $9 189%
Oscar $9 189%
Prime Healthcare $9 189%
UnitedHealthcare $10 - $38 210%
Group Pension Administrators $11 231%
Reedman Toll $11 231%
Blue Shield - Pa (Highmark) $13 273%
Keystone First $15 315%
Keystone First Chip $15 315%
Upmc Health Plan $24 504%
Webtpa $24 504%
Geha $32 672%
Meritain $69 1450%
Multiplan $70 1471%
Prime Health Services $70 1471%
Galaxy Health Network $74 1555%
Three Rivers Provider Network $74 1555%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Langhorne-Newtown Rd, Langhorne, PA 19047
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals