CMS Price Transparency Data

Blood test, potassium

Facility: Black River Memorial Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84132
Insurance Median: $62
Cash Discount Price: $73
vs. Medicare Baseline: 13.03x Medicare

The contracted insurance negotiated median rate for a Blood test, potassium at Black River Memorial Hospital is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 13.03x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.

Cash / Self-Pay

$73

Average discount available for prompt cash payment at this facility.

Insurance Median

$62

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: $73 (1534%)

Insurance Median: $62 (1303%)

Cash: $73 (1534% of Medicare)

Ins. Median: $62 (1303% 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 1303% of the Medicare baseline (a markup of 1203%). 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	$2 - $50	42%
Group Health Cooperative Of Eau Claire	$5 - $95	105%
My Choice Wisconsin, Inc.	$5 - $50	105%
Quartz Health Solutions, Inc	$5 - $89	105%
UnitedHealthcare	$5 - $92	105%
Humana	$33 - $91	693%
Security Health Plan	$33 - $92	693%
Corvel	$40 - $60	840%
The Alliance	$55 - $94	1155%
Triology Health Solutions	$58 - $93	1218%
Medica	$61 - $92	1282%
Association Benefits Solution	$62 - $93	1303%
Family Health Center Of Marshfield	$62 - $93	1303%
First Health Group Corporation	$62 - $93	1303%
Provider Network Of America	$62 - $93	1303%
Cigna	$63 - $95	1324%
Cofinity	$63 - $95	1324%
Coventry Health Care	$63 - $95	1324%
Custom Benefit Administrators	$63 - $95	1324%
Healthpartners, Inc.	$63 - $95	1324%
Multiplan	$63 - $97	1324%
Wisconsin Physicians Service Insurance Corp	$63 - $95	1324%
Chorus	$64 - $96	1345%

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 $73.
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 Black River Memorial Hospital 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.