CMS Price Transparency Data

Blood test, potassium

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $44
Cash Discount Price: $72
vs. Medicare Baseline: 9.24x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 9.24x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$72

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: $72 (1513%)

Insurance Median: $44 (924%)

Cash: $72 (1513% 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.

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
Blue Cross Blue Shield	$5 - $25	105%
Group Health Cooperative Of Eau Claire	$5 - $72	105%
Humana	$5 - $68	105%
Icare	$5	105%
Managed Health Services	$5	105%
Molina Healthcare Of Wi	$5 - $65	105%
My Choice	$5	105%
Network Health Plan	$5 - $63	105%
Quartz	$5 - $43	105%
Security Health Plan (Shp)	$5 - $44	105%
Trilogy	$5 - $68	105%
UnitedHealthcare	$5 - $17	105%
Veteran'S Administration (Va Ccn)	$5	105%
The Alliance	$39	819%
Amish/Mennonite	$42	882%
Wps Health Insurance	$51	1071%
Cigna	$52 - $56	1092%
Health Payment Systems	$53	1113%
First Health	$65	1366%
Healtheos By Multiplan Inc.	$71 - $72	1492%
Health Partners	$72	1513%
Coventry	$73	1534%

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 $72.
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 Marshfield Medical Center - Beaver Dam (Mmc-Bd) 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.