CMS Price Transparency Data

Blood test, potassium

Facility: Marshfield Medical Center - Rice Lake

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $44
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 9.24x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Marshfield Medical Center - Rice Lake is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 9.24x the Medicare baseline. Located in 1700 West Stout Street, Rice Lake, WI.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $44 (924%)
Insurance Median: $44 (924%)
Cash: $44 (924% of Medicare)
Ins. Median: $44 (924% 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 924% of the Medicare baseline (a markup of 824%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $5 - $30 105%
Group Health Cooperative Of Eau Claire $5 - $44 105%
Managed Health Services $5 105%
Point Comfort Underwriters $5 105%
Security Health Plan (Shp) $5 - $33 105%
Veteran'S Administration (Va Ccn) $5 105%
UnitedHealthcare $17 - $38 357%
Family Health Center (Fhc) $23 483%
Amish/Mennonite $25 525%
Sanford Health Plan $25 525%
The Alliance $32 - $238 672%
Molina Healthcare Of Wi $39 819%
Besse Forest Products $44 924%
Cigna $44 924%
Corvel $44 924%
Coventry $44 924%
First Health $44 924%
Health Partners $44 924%
Health Smart $44 924%
Healtheos By Multiplan Inc. $44 924%
Medica Of Wi $44 - $45 924%
Rice Lake School District $44 924%
Trilogy $44 924%
Rising Medical Work Comp $45 945%
Three Rivers Provider Network (Trpn) $45 945%
Wps Health Insurance $45 945%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 West Stout Street, Rice Lake, WI 54868
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals