Blood test, potassium
Facility: Oakleaf Surgical Hospital
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $5
- Cash Discount Price: $45
- vs. Medicare Baseline: 1.05x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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 | 105% |
| Dean Health Plan | $5 | 105% |
| Group Health Cooperative Of Eau Claire | $5 | 105% |
| Healthpartners | $5 | 105% |
| Humana | $5 | 105% |
| Medica | $5 | 105% |
| Quartz Health Solutions | $5 | 105% |
| Security Health Plan Of Wi | $5 | 105% |
| Ucare Wi | $5 | 105% |
| UnitedHealthcare | $5 | 105% |
Consumer Guidance & Cost Commentary
For a blood test for potassium at Oakleaf Surgical Hospital in Altoona, WI, the cash median rate is $45. This facility is a physician-owned acute care hospital located at 1000 Oakleaf Way with a zip code of 54720. While specific state or county average data was not provided in this report, the $45 cash rate serves as a baseline for patients with high-deductible plans who may find paying out-of-pocket cheaper than their insurance negotiated rate. If your insurance plan has a high deductible, you might save money by paying the $45 directly rather than relying on a negotiated rate that could exceed the cash price.
The facility's negotiated rates with major payers such as Blue Cross Blue Shield, Humana, and UnitedHealthcare are all set at $5, which is significantly lower than the gross charge of $50. This $5 negotiated rate is also very close to the Medicare amount of $4.76, with a ratio of 1.1 times the Medicare amount. Because the negotiated rate is so low, patients should verify their out-of-network status to avoid potential balance billing, though the No Surprises Act protects many emergency and non-emergency services at in-network facilities. If you choose to pay cash, you should ask the hospital about self-pay or prompt-pay discounts, which can further reduce the $45 cash median rate.