Blood test, potassium
Facility: Mercy St Francis Hospital
Billing Code: 84132 (CPT)
- CPT Billing Code: 84132
- Insurance Median: $61
- Cash Discount Price: $44
- vs. Medicare Baseline: 12.82x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1282% of the Medicare baseline (a markup of 1182%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $4 - $35 | 84% |
| Blue Cross Blue Shield | $5 - $66 | 105% |
| Medicare (plans) | $5 - $24 | 105% |
| UnitedHealthcare | $7 - $65 | 147% |
| Cigna | $19 - $65 | 399% |
| Provider Partners Health Plans Contracted [320450] | $19 - $23 | 399% |
| Pace of the Ozarks Contracted [320518] | $19 - $23 | 399% |
| Aetna | $19 - $61 | 399% |
| Globalhealth Contracted [320145] | $19 - $23 | 399% |
| Dept of Veteran Affairs Contracted [320106] | $19 - $23 | 399% |
| Halo Hcr Inc Hospice [20432] | $19 - $23 | 399% |
| Qual Choice Contracted [320325] | $19 - $23 | 399% |
| Kindful Hospice [20434] | $19 - $23 | 399% |
| Medical Associates Health Contracted [320444] | $19 - $23 | 399% |
| Humana | $19 - $61 | 399% |
| Cherokee Nation Health Serv Contracted [320066] | $19 - $23 | 399% |
| Acentra Health Contracted [320527] | $19 | 399% |
| Indian Health Service Contracted [320198] | $19 - $23 | 399% |
| Halo Hcr Inc Hospice Contracted [320432] | $19 - $23 | 399% |
| Kindful Hospice Contracted [320434] | $19 - $23 | 399% |
| Cross Timbers Hospice [20098] | $19 - $23 | 399% |
| Mercy Hospice Okc [20252] | $19 - $23 | 399% |
| Mercy Mgd Behavioral Health Contracted [320259] | $19 - $23 | 399% |
| Elara Caring Aspire Hospice [20433] | $19 - $23 | 399% |
| Healthscope Contracted [320182] | $23 - $31 | 483% |
| Tricare | $23 | 483% |
| Administrative Payor Contracted [320005] | $31 | 651% |
| Centivo Contracted [320505] | $31 - $39 | 651% |
| Ambetter / Centene | $35 | 735% |
| Home State Health Plan Contracted [320187] | $35 | 735% |
| Novasys Contracted [320285] | $35 | 735% |
| Preferred Health Plan Contracted [320522] | $44 | 924% |
| Healthlink Contracted [320179] | $44 - $65 | 924% |
| Workers Comp [20426] | $54 - $58 | 1134% |
| Point C Contracted [320238] | $61 - $65 | 1282% |
| Auxiant Contracted [320462] | $61 - $65 | 1282% |
| United Medical Resources Contracted [320454] | $61 - $63 | 1282% |
| Mercy Benefit Admin Contracted [320251] | $61 - $65 | 1282% |
| Medica Contracted [320239] | $64 | 1345% |
| Point C [20238] | $65 | 1366% |
| Imagine 360 Contracted [320494] | $65 | 1366% |
| Insurance System Inc Contracted [320465] | $65 | 1366% |
| Yuzu Health Contracted [320521] | $65 | 1366% |
| Show-Me Health Administrators Contracted [320483] | $65 | 1366% |
| 90 Degree Benefits Contracted [320436] | $65 | 1366% |
| First Health Contracted [320128] | $65 | 1366% |
| Benefit Management Contracted [320052] | $65 | 1366% |
| Edison Health Solutions Contracted [320502] | $65 | 1366% |
| Reflect Health Contracted [320492] | $65 | 1366% |
| Ebms Contracted [320493] | $65 | 1366% |
| Private Health Care Systems Contracted [320320] | $65 | 1366% |
| USA Managed Care Org Contracted [320429] | $65 | 1366% |
| Aither Health Contracted [320449] | $65 | 1366% |
| Evolutions Health Care Contracted [320124] | $65 | 1366% |
| Multiplan Contracted [320270] | $65 | 1366% |
| Health Systems Inc Contracted [320174] | $65 | 1366% |