CMS Price Transparency Data

Blood test, potassium

Facility: Valley Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $14
  • Cash Discount Price: $41
  • vs. Medicare Baseline: 2.94x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Valley Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 2.94x the Medicare baseline. Located in 400 S 43Rd St, Renton, WA.
Cash / Self-Pay
$41

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $41 (861%)
Insurance Median: $14 (294%)
Cash: $41 (861% of Medicare)
Ins. Median: $14 (294% 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 294% of the Medicare baseline (a markup of 194%). 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
Regence Blue Shield [170100] $4 - $5 84%
Aetna $5 105%
Blue Cross Blue Shield $5 - $9 105%
Chpw Med Advantage [210102] $5 105%
Humana $5 105%
Medicare (plans) $5 105%
Premera Medadvantage [210114] $5 105%
Regence Hma [170105] $5 105%
Regence Hma1 [170102] $5 105%
Regence Medadvantage [210111] $5 105%
Regence Uniform [130111] $5 105%
UnitedHealthcare $5 - $14 105%
Wellpoint Medadvantage [210115] $5 105%
Bh United [180100] $6 126%
Chpw [130116] $8 168%
Molina [130117] $8 168%
Empire Plan [130124] $9 189%
Cigna $10 210%
Providence Health [130125] $10 210%
Benefit Md [150113] $14 294%
Carpenters Trust [150122] $14 294%
Cement Masons And Plasterers [150127] $14 294%
Coresource [150109] $14 294%
Employee Benefit Management Services [150108] $14 294%
Fc Moda Health [150139] $14 294%
First Choice Health Administrators [150110] $14 294%
First Choice Health Comp [150112] $14 294%
First Choice [150134] $14 294%
Health Net [150111] $14 294%
Here [150114] $14 294%
Hotel Employees Health Trust [150115] $14 294%
International Longshore & Warehouse Union [150116] $14 294%
Kitsap Physician Services [150118] $14 294%
Loomis Benefits West [150119] $14 294%
Mega [150120] $14 294%
Midwest [150121] $14 294%
Nw Administrators [150123] $14 294%
Operating Engineers [150125] $14 294%
Painters Trust [150126] $14 294%
Puget Sound Electric [150131] $14 294%
Seattle Plumb And Pipe [150132] $14 294%
Trusteed Plan [150101] $14 294%
United Employee Benefit Trust [150137] $14 294%
Washington Bakers Trust [150102] $14 294%
Washington Employers Trust [150103] $14 294%
Washington State Health Ins Pool [150104] $14 294%
Welfare Pension Administration Services [150105] $14 294%
Zenith Admin [150106] $14 294%
Zzjohn Alden [150117] $14 294%
Zzprincipal Financial Group [150128] $14 294%
Zzprovidence [150129] $14 294%
Kaiser Washington Contracted [130118] $17 357%
Kaiser Washington Non Contracted [140116] $17 357%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 S 43Rd St, Renton, WA 98055
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals