CMS Price Transparency Data

Blood test, potassium

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $36
  • Cash Discount Price: $37
  • vs. Medicare Baseline: 7.56x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at University of Wi Hospitals & Clinics Authority is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 7.56x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.
Cash / Self-Pay
$37

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $37 (777%)
Insurance Median: $36 (756%)
Cash: $37 (777% of Medicare)
Ins. Median: $36 (756% 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 756% of the Medicare baseline (a markup of 656%). 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
Aetna $5 - $50 105%
Blue Cross Blue Shield $5 - $59 105%
Humana $5 105%
Medicare (plans) $5 105%
UnitedHealthcare $5 - $39 105%
Alliance_Premier_Network $30 630%
Mercycare $31 651%
Triology $32 - $38 672%
Security_Health_Plan $33 - $39 693%
Employer'S_Coalition_On_Health $34 - $48 714%
Alliance $35 735%
Hfn $35 - $48 735%
Aspirus_Health_Plan $36 756%
Beloit_Health_System $36 756%
United_Healthcare $36 - $53 756%
Cigna $37 777%
Health_Partners_Insurance $38 798%
Health_Payment_Systems $38 798%
Dean_Health_Plan $40 840%
Medical_Associates $41 861%
Employers_Healthcare_Coalition_Of_Wi $43 903%
Wps $43 - $47 903%
Aspirus_Network_Inc $48 1008%
Chorus_Community $50 1050%
Ghc_Eau_Claire_Health_Plan $50 1050%
Multiplan $50 - $57 1050%
Sheybogan_Employers_Health_Network $50 1050%
Coventry $53 1113%
Dean_Care $53 1113%
Healthsmart $55 1155%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Highland Avenue, Madison, WI 53792
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals