CMS Price Transparency Data

Blood test, potassium

Facility: Cody Regional Health

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $50
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 10.50x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Cody Regional Health is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 10.50x the Medicare baseline. Located in 707 Sheridan Avenue, Cody, WY.
Cash / Self-Pay
$47

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $47 (987%)
Insurance Median: $50 (1050%)
Cash: $47 (987% of Medicare)
Ins. Median: $50 (1050% 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 1050% of the Medicare baseline (a markup of 950%). 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
Tricare $25 525%
Christian Hlthcare - All Plans $44 924%
Cigna $44 924%
Blue Cross Blue Shield $47 - $52 987%
First Choice Health - All Plans $50 1050%
Medica Comm - All Other Plans $50 1050%
Mountain Health - All Plans $50 1050%
Pacific Source - All Plans $50 1050%
Rocky Mtn Admin - All Plans $50 1050%
First Health Ntwrk-All Plans $51 1071%
Humana $51 1071%
Interwest Health Ppo - All Plans $51 1071%
UnitedHealthcare $51 1071%
Three Rivers - All Plans $52 1092%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 707 Sheridan Avenue, Cody, WY 82414
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals