CMS Price Transparency Data

Blood test, potassium

Facility: Lewisgale Hospital Alleghany

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $30
  • Cash Discount Price: $181
  • vs. Medicare Baseline: 6.30x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Lewisgale Hospital Alleghany is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $181. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 6.30x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.
Cash / Self-Pay
$181

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $181 (3803%)
Insurance Median: $30 (630%)
Cash: $181 (3803% of Medicare)
Ins. Median: $30 (630% 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 630% of the Medicare baseline (a markup of 530%). 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 - $98 105%
Align Senior Care $5 105%
Blue Cross Blue Shield $5 - $30 105%
Cigna $5 105%
Clear Spring Health Plan $5 105%
Devoted $5 105%
Good Samaritan Hospice $5 105%
Humana $5 105%
Sentara Health $5 105%
United $5 - $81 105%
United Behavioral Health $5 105%
United Mine Workers $5 105%
Virginia Premier Health $5 105%
Greenbrier Sporting Club $7 147%
Lifeworks $34 714%
Universal Healthcare Group $40 840%
Virginia Health Network $63 - $129 1324%
Greenvbrier Sporting Club $109 2290%
Corvel $130 2731%
Csx Hotels $145 3046%
Occunet Workers Comp $145 3046%
Health Payors Organization $154 3235%
4Most $163 3424%
Alleghany Highland Community $163 3424%
American Postal Workers Union $163 3424%
C&O Employees Hospital Assn $163 3424%
Community Care Network $163 3424%
Multiplan $163 3424%
One Health Plan $163 3424%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Arh Lane - Po Box 7, Low Moor, VA 24457
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals