CMS Price Transparency Data

Blood test, potassium

Facility: Lincoln Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $52
Cash Discount Price: $58
vs. Medicare Baseline: 10.92x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Lincoln Hospital is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 10.92x the Medicare baseline. Located in 10 Nichols Street, Davenport, WA.

Cash / Self-Pay

$58

Average discount available for prompt cash payment at this facility.

Insurance Median

$52

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: $58 (1218%)

Insurance Median: $52 (1092%)

Cash: $58 (1218% of Medicare)

Ins. Median: $52 (1092% 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 1092% of the Medicare baseline (a markup of 992%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Labor & Industries - All Plans	$7	147%
Ambetter / Centene	$30	630%
Molina Hlthy Options	$30	630%
UnitedHealthcare	$30 - $57	630%
Amerigroup Mcaid - All Plans	$32	672%
Aetna	$36 - $62	756%
Indian Hlth Services - All Plans	$36	756%
Tricare	$36	756%
Va Ccn - All Plans	$36	756%
Cigna	$49	1029%
Focus Healthcare Mgmt - All Plans	$52	1092%
Molina Exchange-All Other Plans	$52	1092%
Blue Cross Blue Shield	$57	1197%
Uniform Medical Plan-All Plans	$57	1197%
First Health Coventry-All Plans	$58	1218%
Health Management Network-All Plans	$58	1218%
Three Rivers-All Plans	$58	1218%
Asuris Nw Health-All Plans	$60	1261%
Multiplan-All Plans	$62	1303%
Physician Hosp Comm Org-All Plans	$62	1303%
First Choice Health- All Plans	$63	1324%

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 $58.
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 Lincoln Hospital 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.