CMS Price Transparency Data

Blood test, potassium

Facility: Beloit Health System

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $43
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 9.03x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Beloit Health System is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 9.03x the Medicare baseline. Located in 1969 W Hart Rd, Beloit, WI.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

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: $26 (546%)
Insurance Median: $43 (903%)
Cash: $26 (546% of Medicare)
Ins. Median: $43 (903% 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 903% of the Medicare baseline (a markup of 803%). 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
Aetna $5 - $84 105%
Blue Cross Blue Shield $5 - $47 105%
Cook Children'S Health Plan (Cchp) $5 - $44 105%
Dean Health $5 - $49 105%
Humana $5 - $18 105%
Independent Care Health Plan $5 105%
Managed Health Services $5 105%
Molina Healthcare $5 105%
Quartz $5 - $57 105%
UnitedHealthcare $5 - $66 105%
Wellcare $5 105%
Naphcare $7 147%
The Alliance $20 420%
Wps $22 - $65 462%
Wea Trust $49 1029%
Multiplan $71 1492%
Health Eos $79 - $80 1660%
Cigna $81 - $84 1702%
Hfn $81 - $84 1702%
Preferred Network Access $81 - $84 1702%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1969 W Hart Rd, Beloit, WI 53511
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals