CMS Price Transparency Data

Blood test, potassium

Facility: Prisma Health Baptist

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $6
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Prisma Health Baptist is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.26x the Medicare baseline. Located in 1330 Taylor at Marion St, Columbia, SC.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $46 (966%)
Insurance Median: $6 (126%)
Cash: $46 (966% of Medicare)
Ins. Median: $6 (126% 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
Blue Cross Blue Shield $3 - $18 63%
Bluechoice [810] $3 - $5 63%
Golden Rule Insurance Company [2991] $4 84%
Oxford Health Plans [2992] $4 84%
Tricare $4 84%
UnitedHealthcare $4 - $6 84%
Zzumr-Salt Lake City Ut [3169] $4 84%
Aetna $5 - $55 105%
Cigna $5 - $27 105%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $5 105%
Healthy Conn Prime-First Choice Vip Care [5300] $5 105%
Healthy Conn Prime-Molina Healthcare [5330] $5 105%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $5 105%
Humana $5 - $52 105%
Medicare (plans) $5 105%
Planned Administrators [820] $5 105%
Triwest Healthcare Alliance Vcp [902] $5 105%
Va Community Care Network-Vaccn [903] $5 105%
Medicaid / KanCare $6 - $7 126%
Workers Comp [600] $7 147%
Ambetter / Centene $9 189%
Prisma Health Seniorcare Pace - Midlands [5400] $16 336%
Prisma Health Seniorcare Pace-Upstate [5200] $16 336%
Scdc-Sc Dept Of Corrections [7232] $18 378%
Promise Health Plan Contracted [2401] $24 - $42 504%
Evernorth Behavioral Contracted [2982] $27 567%
Orangeburg Senior Helping Center Pace [5401] $28 588%
Bob Jones Univ-Pai [821] $42 882%
Meritain Health Contracted [2200] $45 - $55 945%
Preferred Administrators Contracted [2839] $49 1029%
Atlantic Packaging Contracted [4833] $52 1092%
Medcost [2940] $52 - $58 1092%
Nippon [2300] $55 1155%
Aps Healthcare System [2981] $56 1176%
Multiplan/Phcs Contracted [2950] $62 1303%
Vsp Vision Care [2986] $63 1324%
First Health Contracted [2952] $65 1366%
Furman Int/Allen University Student [2951] $65 1366%
Quiktrip-First Health [3067] $65 1366%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1330 Taylor at Marion St, Columbia, SC 29220
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals