CMS Price Transparency Data

Blood test, potassium

Facility: Prosser Memorial Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $58
Cash Discount Price: $40
vs. Medicare Baseline: 12.18x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Prosser Memorial Hospital is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 12.18x the Medicare baseline. Located in 723 Memorial Street, Prosser, WA.

Cash / Self-Pay

$40

Average discount available for prompt cash payment at this facility.

Insurance Median

$58

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: $40 (840%)

Insurance Median: $58 (1218%)

Cash: $40 (840% of Medicare)

Ins. Median: $58 (1218% 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 1218% of the Medicare baseline (a markup of 1118%). 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
UnitedHealthcare	$8 - $30	168%
Kaiser Permanente	$15 - $66	315%
Amerigroup	$16 - $31	336%
Community Health Plan Of Washington	$16 - $30	336%
Coordinated Care	$16 - $30	336%
Molina	$16 - $30	336%
Health Alliance Northwest	$18	378%
Humana	$18 - $62	378%
Wellcare	$18	378%
Aetna	$22 - $62	462%
Ambetter / Centene	$51 - $56	1071%
Asuris	$58 - $66	1218%
Health Management Adminstrators	$58 - $66	1218%
Premera	$58	1218%
Regence	$58 - $66	1218%
Cigna	$60	1261%
First Choice	$62	1303%
Multiplan	$62 - $66	1303%

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 $40.
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 Prosser Memorial 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.