CMS Price Transparency Data

Blood test, potassium

Facility: Erlanger Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $7
  • Cash Discount Price: $45
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Erlanger Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.47x the Medicare baseline. Located in 975 E 3Rd St, Chattanooga, TN.
Cash / Self-Pay
$45

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: $45 (945%)
Insurance Median: $7 (147%)
Cash: $45 (945% 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
Amerigroup $2 - $9 42%
Humana $2 - $7 42%
UnitedHealthcare $2 - $7 42%
Blue Cross Blue Shield $4 - $118 84%
Bluecard - Network P $4 - $13 84%
Bluecard - Network S $4 - $13 84%
Aetna $5 - $72 105%
Alexian $5 - $14 105%
American Health $5 105%
Atrio Health $5 - $13 105%
Bluecare $5 - $25 105%
Caresource $5 - $10 105%
Cigna $5 - $66 105%
Clover $5 105%
Devoted Health $5 - $11 105%
Nhc $5 105%
Upmc $5 105%
Wellpoint $5 105%
Ambetter / Centene $6 126%
Caresource Ga $7 - $12 147%
Caresource Nc $7 - $12 147%
Caresource Tn $7 - $12 147%
Point Comfort Underwriters $8 - $13 168%
Pruitthealth Premier $10 - $15 210%
Pnoa $12 252%
Olympus $81 - $110 1702%
Alliant $110 2311%
First Health $118 - $125 2479%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 E 3Rd St, Chattanooga, TN 37403
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals