CMS Price Transparency Data

Blood test, potassium

Facility: Lewisgale Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $136
  • Cash Discount Price: $227
  • vs. Medicare Baseline: 28.57x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Lewisgale Medical Center is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 28.57x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.
Cash / Self-Pay
$227

Average discount available for prompt cash payment at this facility.

Insurance Median
$136

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: $227 (4769%)
Insurance Median: $136 (2857%)
Cash: $227 (4769% of Medicare)
Ins. Median: $136 (2857% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2857% of the Medicare baseline (a markup of 2757%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Health Net $4 84%
Triatlantic $4 84%
Aetna $5 105%
Align Senior Care $5 105%
Blue Cross Blue Shield $5 - $30 105%
Cigna $5 - $40 105%
Clear Spring Health Plan $5 105%
Devoted $5 105%
Evernorth Behavioral Health $5 105%
Good Samaritan Hospice $5 105%
Humana $5 105%
Pyramid Life $5 105%
Sentara Health $5 105%
United $5 - $103 105%
United Behavioral Health $5 105%
United Mine Workers $5 105%
Virginia Premier Health $5 105%
Greenbrier Sporting Club $7 147%
Lifeworks $43 903%
Universal Healthcare Group $50 1050%
Virginia Health Network $79 - $162 1660%
Naphcare $113 - $114 2374%
Greenvbrier Sporting Club $136 - $137 2857%
Graham-White Manufacturing $158 - $160 3319%
Richfield Nursing Center $158 - $160 3319%
Corvel $163 - $164 3424%
Community Care Network $170 - $171 3571%
Richfield Retirement Community $170 - $171 3571%
Csx Hotels $181 - $182 3803%
Occunet Workers Comp $181 - $182 3803%
One Health Plan $181 - $182 3803%
Patients Choice $199 - $201 4181%
4Most $203 - $205 4265%
Alleghany Highland Community $203 - $205 4265%
American Postal Workers Union $203 - $205 4265%
C&O Employees Hospital Assn $203 - $205 4265%
Multiplan $203 - $205 4265%
Phcs $203 - $205 4265%
Star Transportation $203 - $205 4265%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Electric Road, Salem, VA 24153
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals