CMS Price Transparency Data

Blood test, potassium

Facility: John Randolph Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $5
  • Cash Discount Price: $417
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at John Randolph Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $417. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 1.05x the Medicare baseline. Located in 411 West Randolph Road, Hopewell, VA.
Cash / Self-Pay
$417

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $417 (8761%)
Insurance Median: $5 (105%)
Cash: $417 (8761% of Medicare)
Ins. Median: $5 (105% 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
Triatlantic $4 84%
Aetna $5 105%
Align Senior Care $5 105%
Blue Cross Blue Shield $5 - $19 105%
Cigna $5 - $21 105%
Clear Spring Health Plan $5 105%
Davita Village Health $5 105%
Devoted $5 105%
Evernorth Behavioral Health $5 105%
Health Net $5 105%
Humana $5 105%
Johns Hopkins $5 105%
Pyramid Life $5 105%
Sentara Health $5 105%
United $5 - $188 105%
United Behavioral Health $5 105%
Virginia Premier Health $5 105%
Naphcare $6 126%
Oscar $12 252%
Lifeworks $79 1660%
Universal Healthcare Group $92 1933%
Virginia Health Network $146 - $271 3067%
Value Options $250 5252%
Corvel $300 6303%
Occunet Workers Comp $334 7017%
4Most Health Nework $375 7878%
Multiplan $375 7878%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 411 West Randolph Road, Hopewell, VA 23860
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals