CMS Price Transparency Data

Blood test, potassium

Facility: Uva Health Culpeper Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $6
Cash Discount Price: $42
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Uva Health Culpeper Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.26x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$42

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $42 (882%)

Insurance Median: $6 (126%)

Cash: $42 (882% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$4 - $6	84%
Aetna	$5 - $45	105%
Blue Cross Blue Shield	$5	105%
Champva [50002]	$5	105%
Cigna	$5 - $63	105%
Humana	$5	105%
Medicare (plans)	$5	105%
Sentara Behavioral Health [40052]	$5	105%
Sentara [40021]	$5	105%
Tricare	$5	105%
VA Ccn [99926]	$5	105%
VA Ccn [99927]	$5	105%
Veterans Administration [99910]	$5	105%
Geha [40009]	$6	126%
Carefirst [30007]	$19 - $21	399%
Multiplan Generic [40035]	$55 - $72	1155%
Vhn Generic [40040]	$55 - $72	1155%
Kaiser Permenente [40014]	$65 - $86	1366%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $42.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84132.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Uva Health Culpeper Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84132.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.